Individual
HOLLI DANIELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13918 CREEKVIEW DR LOT 58, RUDOLPH, OH 43462-9203
(419) 819-2623
Mailing address
PO BOX 32, RUDOLPH, OH 43462-0032
(419) 819-2623
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
05/08/2023
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