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Individual

LAURENCE WAYNE LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
266 FAIRGROUNDS RD, PAINESVILLE, OH 44077-1922
(440) 357-1046
Mailing address
266 FAIRGROUNDS RD, PAINESVILLE, OH 44077-1922
(440) 357-1046

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
OH

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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