Provider Demographics
NPI:1649743857
Name:HEMBY, IONE MARGARET
Entity Type:Individual
Prefix:MRS
First Name:IONE
Middle Name:MARGARET
Last Name:HEMBY
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 1:567 DORSET CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-8528
Mailing Address - Country:US
Mailing Address - Phone:386-756-9907
Mailing Address - Fax:386-756-9907
Practice Address - Street 1:567 DORSET CIR
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-8528
Practice Address - Country:US
Practice Address - Phone:386-756-9907
Practice Address - Fax:386-756-9907
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL230402300Medicaid