Individual
CAROL A RUSCHAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 STONE RIDGE PL, TIPP CITY, OH 45371-9393
(937) 760-4363
Mailing address
875 STONE RIDGE PL, TIPP CITY, OH 45371-9393
(937) 760-4363
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04145566
OH
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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