Individual
CHARLENE MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 NEWLON RD NW, MALTA, OH 43758-9761
(740) 962-4869
Mailing address
1760 BROADWAY ST, STOCKPORT, OH 43787-9113
(740) 559-2717
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2684073
—
OH
01
—
5800682
ODMRDD PROVIDER
OH
Enumeration date
02/12/2007
Last updated
07/09/2007
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