Individual
HELEN M STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43800 NATIONAL RD, BELMONT, OH 43718-9672
(740) 312-4471
Mailing address
43800 NATIONAL RD, BELMONT, OH 43718-9672
(740) 312-4471
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RG011134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701726
—
OH
Enumeration date
09/10/2020
Last updated
09/10/2020
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