Provider Demographics
NPI:1922164888
Name:SHARON HOUSE LPN
Entity Type:Organization
Organization Name:SHARON HOUSE LPN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:740-397-5381
Mailing Address - Street 1:113 MARITA DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-2911
Mailing Address - Country:US
Mailing Address - Phone:740-397-5381
Mailing Address - Fax:
Practice Address - Street 1:6970 RAMEY RD
Practice Address - Street 2:
Practice Address - City:CENTERBURG
Practice Address - State:OH
Practice Address - Zip Code:43011-9645
Practice Address - Country:US
Practice Address - Phone:740-625-5490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 071199164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty