Individual
MIRANDA PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2914 FREEDOM TRL, REYNOLDSBURG, OH 43068-3925
(614) 772-0031
(614) 772-0031
Mailing address
2914 FREEDOM TRL, REYNOLDSBURG, OH 43068-3925
(614) 772-0031
(614) 772-0031
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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