Individual
ELSIE M SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 FINDLAY ST, PORTSMOUTH, OH 45662-2906
(740) 352-8872
Mailing address
1516 FINDLAY ST, PORTSMOUTH, OH 45662-2906
(740) 352-8872
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76349240
—
OH
Enumeration date
12/20/2022
Last updated
12/20/2022
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