Provider Demographics
NPI:1588078380
Name:OMALLEY, ESTHER
Entity type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:OMALLEY
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 1:16 CHAMBERS ST
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-1807
Mailing Address - Country:US
Mailing Address - Phone:330-623-1544
Mailing Address - Fax:
Practice Address - Street 1:16 CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1807
Practice Address - Country:US
Practice Address - Phone:330-623-1544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide