Provider Demographics
NPI:1902489255
Name:HELTON LITTLEFIELD, MANYA
Entity Type:Individual
Prefix:
First Name:MANYA
Middle Name:
Last Name:HELTON LITTLEFIELD
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 1:4155 HAYDEN LOFTS PL
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7556
Mailing Address - Country:US
Mailing Address - Phone:614-615-5338
Mailing Address - Fax:
Practice Address - Street 1:4155 HAYDEN LOFTS PL
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7556
Practice Address - Country:US
Practice Address - Phone:614-615-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health