Individual
EVA LEE ONA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 BARDWELL WEST RD, WILLIAMSBURG, OH 45176-9648
(151) 372-4225
Mailing address
1643 BARDWELL WEST RD, WILLIAMSBURG, OH 45176-9648
(151) 372-4225
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
372600000X
Adult Companion
—
OH
376J00000X
Homemaker
—
OH
385H00000X
Respite Care
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085664
—
OH
Enumeration date
09/11/2020
Last updated
09/11/2020
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