Individual
DEVIN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38405 NORTH LN APT E204, WILLOUGHBY, OH 44094-7421
(440) 494-1247
Mailing address
38405 NORTH LN APT E204, WILLOUGHBY, OH 44094-7421
(440) 494-1247
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9999999
—
OH
Enumeration date
09/20/2023
Last updated
09/20/2023
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