Provider Demographics
NPI:1306731849
Name:GRIFFETH, ALEAH
Entity type:Individual
Prefix:
First Name:ALEAH
Middle Name:
Last Name:GRIFFETH
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 1:121 GIBSON AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1317
Mailing Address - Country:US
Mailing Address - Phone:419-545-5713
Mailing Address - Fax:419-545-5713
Practice Address - Street 1:121 GIBSON AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1317
Practice Address - Country:US
Practice Address - Phone:419-545-5713
Practice Address - Fax:419-545-5713
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle