Individual
MS. ANGELA MARIE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 SOUTHGATE BLVD APT F, FAIRFIELD, OH 45014-3492
(513) 426-0847
Mailing address
5255 SOUTHGATE BLVD APT F, FAIRFIELD, OH 45014-3492
(513) 426-0847
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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