Provider Demographics
NPI:1912582644
Name:MILLS, ALEXUS (BAS)
Entity Type:Individual
Prefix:
First Name:ALEXUS
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:BAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 SHAWNEE LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-3460
Mailing Address - Country:US
Mailing Address - Phone:216-413-8992
Mailing Address - Fax:
Practice Address - Street 1:536 SHAWNEE LN
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-3460
Practice Address - Country:US
Practice Address - Phone:216-413-8992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide