Individual
AMBER WASELESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 GIDDINGS RD, ROOTSTOWN, OH 44272-9767
(330) 524-9696
Mailing address
6720 GIDDINGS RD, ROOTSTOWN, OH 44272-9767
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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