Provider Demographics
NPI:1356129472
Name:SKALA, EMILY FAITH
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FAITH
Last Name:SKALA
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 1:332 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:OH
Mailing Address - Zip Code:44050-9685
Mailing Address - Country:US
Mailing Address - Phone:440-420-2663
Mailing Address - Fax:
Practice Address - Street 1:628 N MILL ST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-1383
Practice Address - Country:US
Practice Address - Phone:330-421-6125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker