Most Relevant Information
Provider Data
| NPI Number: | 1003038159 |
| Provider Name: | BECKY LYNNE BURGE |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
963 TICK HILL RD
LOWELL
OH
457447486
Practice Location Phone/Fax
| Phone: | 7403500863 |
| Fax: |
Provider Mailing Location
101 DYE CIRCLE
MARIETTA
OH
457502630
Provider Mailing Phone/Fax
| Phone: | 7405689990 |
| Fax: |