Provider Demographics
NPI:1275245474
Name:HESS, DEBRA KAY (OWNER OF BUSINESS)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAY
Last Name:HESS
Suffix:
Gender:F
Credentials:OWNER OF BUSINESS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 CREW AVE
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-3240
Mailing Address - Country:US
Mailing Address - Phone:419-777-7233
Mailing Address - Fax:
Practice Address - Street 1:641 CREW AVE
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-3240
Practice Address - Country:US
Practice Address - Phone:419-777-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health