Provider Demographics
NPI:1144489477
Name:NAVYAC, CHESSICA ANN (OTR)
Entity type:Individual
Prefix:MRS
First Name:CHESSICA
Middle Name:ANN
Last Name:NAVYAC
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47216 TOMAHAWK DR
Mailing Address - Street 2:
Mailing Address - City:NEGLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44441-9744
Mailing Address - Country:US
Mailing Address - Phone:330-227-9208
Mailing Address - Fax:
Practice Address - Street 1:800 S 15TH ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:OH
Practice Address - Zip Code:44672-2050
Practice Address - Country:US
Practice Address - Phone:330-938-6126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT 06374314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility