Provider Demographics
NPI:1467721159
Name:BETTS, MELISSA L (HHA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:L
Last Name:BETTS
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35706 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45634-8843
Mailing Address - Country:US
Mailing Address - Phone:740-596-0174
Mailing Address - Fax:
Practice Address - Street 1:35706 FRONT ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45634-8843
Practice Address - Country:US
Practice Address - Phone:740-596-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-25
Last Update Date:2011-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide