Individual
BRIDGETT ANN'LOUISE HITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 COLONY RD, CANAL FULTON, OH 44614-1230
(330) 701-3139
Mailing address
540 W INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1105
(907) 561-5335
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
2392183
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2392183
INDEPENDANT PROVIDER
OH
Enumeration date
04/26/2007
Last updated
01/04/2012
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