Provider Demographics
NPI:1669083325
Name:PERROW, HEATHER L (SOLE PROPROETOR)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:PERROW
Suffix:
Gender:F
Credentials:SOLE PROPROETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6908 BIGERTON BND
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1261
Mailing Address - Country:US
Mailing Address - Phone:614-296-2686
Mailing Address - Fax:
Practice Address - Street 1:93 HIGH ST
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9793
Practice Address - Country:US
Practice Address - Phone:740-400-8053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker