Individual
GLADYS SHYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4994 MAGELLAN AVE, TROTWOOD, OH 45426-1484
(937) 520-6989
Mailing address
4994 MAGELLAN AVE, TROTWOOD, OH 45426-1484
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347E00000X
Transportation Broker
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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