Provider Demographics
NPI:1083310205
Name:HOWARD, MARION ELIZABETH (HOME HEALTH PROVIDER)
Entity Type:Individual
Prefix:MRS
First Name:MARION
Middle Name:ELIZABETH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:HOME HEALTH PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21761 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-3031
Mailing Address - Country:US
Mailing Address - Phone:330-620-4786
Mailing Address - Fax:
Practice Address - Street 1:21761 SHERWOOD DR
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-3031
Practice Address - Country:US
Practice Address - Phone:330-620-4786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401421690712376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide