Individual
TIESE L BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 INDIANOLA RD, YOUNGSTOWN, OH 44512-2303
(330) 518-8467
Mailing address
345 INDIANOLA RD, YOUNGSTOWN, OH 44512-2303
(330) 518-8467
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374J00000X
Doula
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2026
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