Provider Demographics
NPI:1497472237
Name:WHITE, LAYMIR
Entity Type:Individual
Prefix:
First Name:LAYMIR
Middle Name:
Last Name:WHITE
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 1:454 S RACCOON RD APT B33
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3652
Mailing Address - Country:US
Mailing Address - Phone:330-766-2137
Mailing Address - Fax:
Practice Address - Street 1:454 S RACCOON RD APT B33
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-3652
Practice Address - Country:US
Practice Address - Phone:330-766-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide