Individual
MRS. AMY K HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 W STATE STREET, SALEM, OH 44460
(330) 337-3026
Mailing address
135 WEST OREGON AVENUE, SEBRING, OH 44672
(330) 938-2382
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
400385430704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2626055
MEDICAID INDEPENDENT HEAL
OH
01
—
400385430704STNA
CARE PROVIDER
OH
Enumeration date
03/06/2007
Last updated
07/08/2007
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