Individual
MRS. GWENDOLYN WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 MAGNOLIA AVE, BEDFORD, OH 44146-2665
(216) 310-0890
Mailing address
33 MAGNOLIA AVE, BEDFORD, OH 44146-2665
(163) 100-8902
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251E00000X
Home Health Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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