Individual
AMBER MARIE FUGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 LENSDALE AVE, DAYTON, OH 45417-8419
(937) 727-3916
Mailing address
1947 ELAINA DR, SPRINGFIELD, OH 45503-6409
(937) 727-3916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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