Individual
MRS. SALLY MAE COTEREL CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLE PROPRIETOR
Contact information
Practice address
6154 BLACK RUN RD, CHILLICOTHE, OH 45601-9155
(740) 804-5528
Mailing address
6154 BLACK RUN RD, CHILLICOTHE, OH 45601-9155
(740) 804-5528
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649552499
—
OH
Enumeration date
07/30/2022
Last updated
07/30/2022
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