Individual
MRS. COLLENE MARIE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
06605 CR 8, BRYAN, OH 43506-4350
(419) 212-0176
Mailing address
06605 CR 8, BRYAN, OH 43506
(419) 212-0176
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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