Individual
AMANDA GOODPASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 STONE PATH CT, CARLISLE, OH 45005-7314
(937) 405-7726
Mailing address
506 STONE PATH CT, CARLISLE, OH 45005-7314
(937) 405-7726
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/08/2025
Last updated
01/15/2025
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