Provider Demographics
NPI:1265650154
Name:HUGHES, ALFREDA ANN
Entity Type:Individual
Prefix:MRS
First Name:ALFREDA
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 TOWNSHIP ROAD 1361
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-7099
Mailing Address - Country:US
Mailing Address - Phone:740-894-2173
Mailing Address - Fax:
Practice Address - Street 1:48 TOWNSHIP ROAD 1361
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-7099
Practice Address - Country:US
Practice Address - Phone:740-894-2173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2497052Medicaid