Individual
MS. BILLEY FORTH
Active
Individual
MS. BILLEY FORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2A000000188
PROVIDER ID
—
Enumeration date
03/08/2018
Last updated
03/08/2018
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