Provider Demographics
NPI:1568232197
Name:ADAMS, AMY MELISSA
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MELISSA
Last Name:ADAMS
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 1:376 W CEDAR ST APT C6
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2429
Mailing Address - Country:US
Mailing Address - Phone:330-590-2260
Mailing Address - Fax:
Practice Address - Street 1:376 W CEDAR ST APT C6
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2429
Practice Address - Country:US
Practice Address - Phone:330-590-2260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health