Individual
CYNTHIA HABUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3894 INDIAN RUN DR APT 8, CANFIELD, OH 44406-9033
(330) 610-4196
Mailing address
3894 INDIAN RUN DR APT 8, CANFIELD, OH 44406-9033
(330) 610-4196
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0211797
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211797
—
OH
01
—
5005498
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
09/26/2020
Last updated
09/26/2020
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