Individual
ELIZABETH MACKZUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8903 EAGLEVIEW DR, WEST CHESTER, OH 45069-6708
(513) 607-4336
Mailing address
8903 EAGLEVIEW DR, WEST CHESTER, OH 45069-6708
(513) 607-4336
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
03/24/2025
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