Provider Demographics
NPI:1801645304
Name:BEBBS, ANGELA JOI
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:JOI
Last Name:BEBBS
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 1:615 DUMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-2007
Mailing Address - Country:US
Mailing Address - Phone:330-881-1512
Mailing Address - Fax:
Practice Address - Street 1:615 DUMONT AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-2007
Practice Address - Country:US
Practice Address - Phone:330-881-1512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide