Provider Demographics
NPI:1821810359
Name:MEZA, SAUL LIMON
Entity type:Individual
Prefix:
First Name:SAUL
Middle Name:LIMON
Last Name:MEZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11352 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43071-9798
Mailing Address - Country:US
Mailing Address - Phone:740-745-2785
Mailing Address - Fax:
Practice Address - Street 1:11352 BAKER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:43071-9798
Practice Address - Country:US
Practice Address - Phone:740-745-2785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide