Individual
MR. BAYLOR L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11780 WATKINS RD, MARYSVILLE, OH 43040-8708
(937) 645-5894
Mailing address
11780 WATKINS RD, MARYSVILLE, OH 43040-8708
(937) 645-5894
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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