Provider Demographics
NPI:1700600020
Name:DUMFORD, SANDRA FAYE
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:FAYE
Last Name:DUMFORD
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 1:3809 US HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:OH
Mailing Address - Zip Code:45118-9699
Mailing Address - Country:US
Mailing Address - Phone:513-309-6159
Mailing Address - Fax:
Practice Address - Street 1:4256 UPPER FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-9726
Practice Address - Country:US
Practice Address - Phone:937-444-1885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health