Provider Demographics
NPI:1699550707
Name:RATLIFF, GILDA M
Entity type:Individual
Prefix:
First Name:GILDA
Middle Name:M
Last Name:RATLIFF
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 1:524 MCGUIRE ST
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-3464
Mailing Address - Country:US
Mailing Address - Phone:330-641-2337
Mailing Address - Fax:
Practice Address - Street 1:524 MCGUIRE ST
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-3464
Practice Address - Country:US
Practice Address - Phone:330-641-2337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant