Most Relevant Information
Provider Data
| NPI Number: | 1003677634 |
| Provider Name: | CHRISTY DAWN NICELY |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/22/2024 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
364 TOWNSHIP ROAD 333
SOUTH POINT
OH
456807366
Practice Location Phone/Fax
| Phone: | 7406466722 |
| Fax: |
Provider Mailing Location
364 TOWNSHIP ROAD 333
SOUTH POINT
OH
456807366
Provider Mailing Phone/Fax
| Phone: | 7406466722 |
| Fax: |