Provider Demographics
NPI:1801552252
Name:ELLIOTT, JOSIE ANNETTE
Entity type:Individual
Prefix:MISS
First Name:JOSIE
Middle Name:ANNETTE
Last Name:ELLIOTT
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 1:8040 UPPER TWIN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:45681-9732
Mailing Address - Country:US
Mailing Address - Phone:740-253-8989
Mailing Address - Fax:
Practice Address - Street 1:8040 UPPER TWIN RD
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:OH
Practice Address - Zip Code:45681-9732
Practice Address - Country:US
Practice Address - Phone:740-253-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant