Provider Demographics
NPI:1962183855
Name:AFRIYIE, SELINA OSEI
Entity type:Individual
Prefix:
First Name:SELINA
Middle Name:OSEI
Last Name:AFRIYIE
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 1:3565 BIRKLAND CIR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-6136
Mailing Address - Country:US
Mailing Address - Phone:161-496-6779
Mailing Address - Fax:
Practice Address - Street 1:3565 BIRKLAND CIR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-6136
Practice Address - Country:US
Practice Address - Phone:161-496-6779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602651210423374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide