| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SALLY MAE COTEREL CHANEY | 1003542051 | 2022-07-30 |
Sally Mae Coterel Chaney is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003542051. Registration indicates Sally Mae Coterel Chaney is a provider of services with a specialization in Technician: Personal Care Attendant (Nursing Service Related Providers, Technician) (Technician Personal Care Attendant, Nursing Service Related Providers) (Technician, )
| Entity Type | Individual |
| Provider Name | Mrs. Sally Mae Coterel Chaney SOLE PROPRIETOR |
| Practice Office Address | 6154 BLACK RUN RD CHILLICOTHE, OH US |
| Practice Office Telephone | 7408045528 |
| Mailing Address | 6154 BLACK RUN RD CHILLICOTHE, OH 456019155 US |
| Business Telephone | 7408045528 |
| Code | Practice | License No State |
|---|---|---|
| 3747P1801X PRIMARY | Technician: Personal Care Attendant Nursing Service Related Providers Technician Technician Personal Care Attendant Nursing Service Related Providers Technician |
OH |
| 649552499 | MEDICAID | OH |