Provider Demographics
NPI:1669525796
Name:NEFF, MECHELLE L (AIDE)
Entity type:Individual
Prefix:MRS
First Name:MECHELLE
Middle Name:L
Last Name:NEFF
Suffix:
Gender:F
Credentials:AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5595 STATE ROUTE 37
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:OH
Mailing Address - Zip Code:43758-9748
Mailing Address - Country:US
Mailing Address - Phone:740-962-6885
Mailing Address - Fax:
Practice Address - Street 1:5595 STATE ROUTE 37
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:OH
Practice Address - Zip Code:43758-9748
Practice Address - Country:US
Practice Address - Phone:740-962-6885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2654328Medicaid