Provider Demographics
NPI:1265484430
Name:FUSSELL & HOLT, INC.
Entity Type:Organization
Organization Name:FUSSELL & HOLT, INC.
Other - Org Name:JOANNS HEALTHCARE NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR OF HOME HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:KACYTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:INGAM
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTER NURSE
Authorized Official - Phone:330-744-2322
Mailing Address - Street 1:2023 BELMONT AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-2411
Mailing Address - Country:US
Mailing Address - Phone:330-744-2322
Mailing Address - Fax:330-744-2350
Practice Address - Street 1:2023 BELMONT AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-2411
Practice Address - Country:US
Practice Address - Phone:330-744-2322
Practice Address - Fax:330-744-2350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health