Individual
ELLA ROSE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
691 OUTRIGGER CV, PAINESVILLE, OH 44077-7911
(440) 799-1677
Mailing address
691 OUTRIGGER CV, PAINESVILLE, OH 44077-7911
(440) 799-1677
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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