Most Relevant Information
Provider Data
| NPI Number: | 1003516444 |
| Provider Name: | LAURYL JEAN SHOPE |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2023 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
6530 STATE ROUTE 772
CHILLICOTHE
OH
456018843
Practice Location Phone/Fax
| Phone: | 7406003818 |
| Fax: |
Provider Mailing Location
6530 STATE ROUTE 772
CHILLICOTHE
OH
456018843
Provider Mailing Phone/Fax
| Phone: | 7406003818 |
| Fax: |