Provider Demographics
NPI:1619618394
Name:SAYLES, ROSALYN MARIE
Entity Type:Individual
Prefix:
First Name:ROSALYN
Middle Name:MARIE
Last Name:SAYLES
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 1:954 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16503-2236
Mailing Address - Country:US
Mailing Address - Phone:814-496-9117
Mailing Address - Fax:
Practice Address - Street 1:954 E 22ND ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-2236
Practice Address - Country:US
Practice Address - Phone:814-496-9117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
86-3556555OtherNON MEDICAL HOME CARE AGENCY