Provider Demographics
NPI:1386988525
Name:BARKHIMER, ROSE
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:BARKHIMER
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 1:2155 S CRISSEY RD
Mailing Address - Street 2:
Mailing Address - City:MONCLOVA
Mailing Address - State:OH
Mailing Address - Zip Code:43542-9745
Mailing Address - Country:US
Mailing Address - Phone:419-306-7109
Mailing Address - Fax:
Practice Address - Street 1:2155 S CRISSEY RD
Practice Address - Street 2:
Practice Address - City:MONCLOVA
Practice Address - State:OH
Practice Address - Zip Code:43542-9745
Practice Address - Country:US
Practice Address - Phone:419-306-7109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-10
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide