Provider Demographics
NPI:1831815349
Name:HORN-SALES, MELISSA RENAE
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RENAE
Last Name:HORN-SALES
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 1:788 KELLY AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2547
Mailing Address - Country:US
Mailing Address - Phone:330-715-5198
Mailing Address - Fax:
Practice Address - Street 1:788 KELLY AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2547
Practice Address - Country:US
Practice Address - Phone:330-715-5198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle