Provider Demographics
NPI:1598393431
Name:MOLESKY, JANICE GALE (INDEPENDENT PROVIDER)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:GALE
Last Name:MOLESKY
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:MRS
Other - First Name:JANICE
Other - Middle Name:GALE
Other - Last Name:MOLESKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JANICE GALE FINLEY
Mailing Address - Street 1:6253 ZILPHA CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-7839
Mailing Address - Country:US
Mailing Address - Phone:513-465-8535
Mailing Address - Fax:
Practice Address - Street 1:6253 ZILPHA CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45011-7839
Practice Address - Country:US
Practice Address - Phone:513-465-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care