Individual
MARY KATHERINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NHA, PCA
Contact information
Practice address
8389 DRAKE STATELINE RD NE, BURGHILL, OH 44404-9768
(330) 720-2659
Mailing address
8389 DRAKE STATELINE RD NE, BURGHILL, OH 44404-9768
(330) 720-2659
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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