Individual
ELIZABETH HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7365 STATE ROUTE 98, SHELBY, OH 44875-9207
(419) 617-8631
Mailing address
7365 STATE ROUTE 98, SHELBY, OH 44875-9207
(419) 617-8631
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
SS409189
OH
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
11/14/2024
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