Individual
CHARLENE VIDMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
939 DILLEWOOD ST, SHEFFIELD LAKE, OH 44054-2013
(440) 724-6367
Mailing address
939 DILLEWOOD ST, SHEFFIELD LAKE, OH 44054-2013
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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