Individual
NANCY LONGENBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 STONEBEND DR, POWELL, OH 43065-8314
(614) 595-1800
Mailing address
199 STONEBEND DR, POWELL, OH 43065-8314
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2657512
—
OH
Enumeration date
10/02/2020
Last updated
10/02/2020
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