Provider Demographics
NPI:1477140069
Name:ARLEDGE, EMMA OLIVE
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:OLIVE
Last Name:ARLEDGE
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 1:4112 PENNYROYAL RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9740
Mailing Address - Country:US
Mailing Address - Phone:740-775-6837
Mailing Address - Fax:
Practice Address - Street 1:4112 PENNYROYAL RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9740
Practice Address - Country:US
Practice Address - Phone:740-775-6837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker