Provider Demographics
NPI:1710692850
Name:HELFRICH, DIANA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:HELFRICH
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 1:1038 REEDY DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9494
Mailing Address - Country:US
Mailing Address - Phone:562-665-0165
Mailing Address - Fax:
Practice Address - Street 1:1038 REEDY DR
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9494
Practice Address - Country:US
Practice Address - Phone:562-665-0165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No253Z00000XAgenciesIn Home Supportive Care