Individual
ERIC ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 HANCES DR, BLACKLICK, OH 43004-9260
(614) 779-5570
Mailing address
400 HANCES DR, BLACKLICK, OH 43004-9260
(614) 779-5570
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251X00000X
Supports Brokerage Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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