Individual
AMANDA MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 TOWNSHIP ROAD 208, MARENGO, OH 43334-9618
(614) 381-6333
Mailing address
550 TOWNSHIP ROAD 208, MARENGO, OH 43334-9618
(614) 381-6333
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414737
—
OH
Enumeration date
06/21/2021
Last updated
06/21/2021
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