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Ms. Earlene Fay Willis
Home Health Agency in Cincinnati, Ohio
NPI 1619415742

Earlene Fay Willis is a Home Health Agency based in Cincinnati, OH. Earlene Fay Willis practices in Cincinnati, OH. The NPI Number for Earlene Fay Willis is 1619415742 and holds a License No. 104497001 (Ohio).

The current practice location address for Earlene Fay Willis is 713 Waycross Rd Apt A, Cincinnati, OH and can be reached out via phone at 513-557-1048.

Location: 713 Waycross Rd Apt A, Cincinnati, OH, 45240-3288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619415742
Provider Name
Earlene Fay Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
713 Waycross Rd Apt A, Cincinnati, OH, 45240-3288
Phone Number
513-557-1048
Fax Number
Provider Enumeration Date
02/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2654908 05 OH
institution
Provider Business Practice Location Address Details
Address
713 Waycross Rd Apt A
City
Cincinnati
State
Ohio
Zip
45240-3288
Phone Number
513-557-1048
Fax Number
person
Provider Business Mailing Address Details
Address
713 Waycross Rd Apt A
City
Cincinnati
State
Ohio
Zip
45240-3288
Phone Number
513-557-1048
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
104497001 (Ohio)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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