Individual
LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 GREENRIDGE DR, GENEVA, OH 44041-9185
(440) 361-4493
(440) 361-4493
Mailing address
250 GREENRIDGE DR, GENEVA, OH 44041-9185
(440) 361-4493
(440) 361-4493
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0402418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402418
—
OH
Enumeration date
09/10/2020
Last updated
09/10/2020
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