Individual
MATTHEW BEANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 VALLEY DR, MARYSVILLE, OH 43040-9196
(330) 398-2776
Mailing address
1320 VALLEY DR, MARYSVILLE, OH 43040-9196
(330) 398-2776
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229440
—
OH
Enumeration date
09/16/2020
Last updated
09/25/2020
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