Individual
JOHN A MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6281 MARSH WREN DR, COLUMBUS, OH 43230-6533
(330) 354-4531
Mailing address
6281 MARSH WREN DR, COLUMBUS, OH 43230-6533
(330) 354-4531
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
2573301
OH
251X00000X
Supports Brokerage Agency
2573301
OH
253Z00000X
In Home Supportive Care Agency
Primary
2573301
OH
343900000X
Non-emergency Medical Transport (VAN)
2573301
OH
347C00000X
Private Vehicle
2573301
OH
372600000X
Adult Companion
2573301
OH
3747P1801X
Personal Care Attendant
2573301
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321776
—
OH
01
—
2573301
OHIO DODD CONTRACT NUMBER
OH
Enumeration date
12/28/2020
Last updated
12/28/2020
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