Individual
CHARLES MANDEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 HIGH ST, CHAUNCEY, OH 45719
(631) 933-5666
Mailing address
19 HIGH ST, CHAUNCEY, OH 45719
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
12/10/2025
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