Provider Demographics
NPI:1417544511
Name:MCELROY, SARAH AMANDA
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:AMANDA
Last Name:MCELROY
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 1:6522 STATE ROUTE 81
Mailing Address - Street 2:
Mailing Address - City:WILLSHIRE
Mailing Address - State:OH
Mailing Address - Zip Code:45898-9821
Mailing Address - Country:US
Mailing Address - Phone:419-605-7492
Mailing Address - Fax:
Practice Address - Street 1:6522 STATE ROUTE 81
Practice Address - Street 2:
Practice Address - City:WILLSHIRE
Practice Address - State:OH
Practice Address - Zip Code:45898-9821
Practice Address - Country:US
Practice Address - Phone:419-605-7492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide