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Mrs. Connie Sue Roberts
Homemaker in Dayton, Ohio
NPI 1609111327

Connie Sue Roberts is a Homemaker based in Dayton, OH. Connie Sue Roberts practices in Dayton, OH. The NPI Number for Connie Sue Roberts is 1609111327 and holds a License No. 376J00000X (Ohio).

The current practice location address for Connie Sue Roberts is 2953 Lindale Ave, Dayton, OH and can be reached out via phone at 937-657-7015.

Location: 2953 Lindale Ave, Dayton, OH, 45414-5520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609111327
Provider Name
Connie Sue Roberts
Credential
Provider Entity Type
Individual
Gender
Female
Address
2953 Lindale Ave, Dayton, OH, 45414-5520
Phone Number
937-657-7015
Fax Number
Provider Enumeration Date
12/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2883456 01 OH ODJFS MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2953 Lindale Ave
City
Dayton
State
Ohio
Zip
45414-5520
Phone Number
937-657-7015
Fax Number
person
Provider Business Mailing Address Details
Address
2953 Lindale Ave
City
Dayton
State
Ohio
Zip
45414-5520
Phone Number
937-657-7015
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
376J00000X (Ohio)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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