Individual
MS. MICHEAL M LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 HARDESTY BLVD, AKRON, OH 44320-3561
(330) 227-8046
Mailing address
1142 HARDESTY BLVD, AKRON, OH 44320-3561
(330) 227-8046
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RU043464
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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