Provider Demographics
NPI:1821794520
Name:AHO, JULIE KAY
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY
Last Name:AHO
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 1:546 SANDPIPER LN APT 102
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-6264
Mailing Address - Country:US
Mailing Address - Phone:218-390-6485
Mailing Address - Fax:
Practice Address - Street 1:546 SANDPIPER LN APT 102
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-6264
Practice Address - Country:US
Practice Address - Phone:218-390-6485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker