Provider Demographics
NPI:1225866478
Name:BERLING, ELYDIA
Entity type:Individual
Prefix:
First Name:ELYDIA
Middle Name:
Last Name:BERLING
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 1:1049 BRUNSWICK DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45118-9440
Mailing Address - Country:US
Mailing Address - Phone:513-582-8821
Mailing Address - Fax:
Practice Address - Street 1:1049 BRUNSWICK DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45118-9440
Practice Address - Country:US
Practice Address - Phone:513-582-8821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health