Provider / Organization | NPI | Date Certified |
---|---|---|
SUSAN MARIE LOUGHLEY | 1053915983 | 2020-11-22 |
Susan Marie Loughley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053915983. Registration indicates Susan Marie Loughley is a provider of services with a specialization in Nursing Service Related Providers, Home Health Aide (Home Health Aide, ) (Home Health Aide, Nursing Service Related Providers)
Entity Type | Individual |
Provider Name | Susan Marie Loughley |
Practice Office Address | 10576 CALIFORNIA ST AURORA, OH US |
Practice Office Telephone | 3303885525 |
Mailing Address | 10576 CALIFORNIA ST AURORA, OH 442029407 US |
Business Telephone | 3303885525 |
Direct Messaging Address [] | [email protected] |
Code | Practice | License No State |
---|---|---|
374U00000X PRIMARY | Nursing Service Related Providers Home Health Aide Home Health Aide Home Health Aide Nursing Service Related Providers |
7718942 | MEDICAID | OH |