Individual
IDA CALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PHELPS FARM CIR, UNION, OH 45322-3417
(937) 241-9173
Mailing address
108 PHELPS FARM CIR, UNION, OH 45322-3417
(937) 241-9173
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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