Provider Demographics
NPI:1659151819
Name:HEMBREE, PEGGY S
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:S
Last Name:HEMBREE
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 1:170 BAKER LN
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45005-3791
Mailing Address - Country:US
Mailing Address - Phone:937-603-6817
Mailing Address - Fax:
Practice Address - Street 1:170 BAKER LN
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45005-3791
Practice Address - Country:US
Practice Address - Phone:937-603-6817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care