Individual
ENGY ROFAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8884 FAIR RD, STRONGSVILLE, OH 44149-1316
(440) 292-6949
Mailing address
8884 FAIR RD, STRONGSVILLE, OH 44149-1316
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506878
RTP
OH
Enumeration date
04/21/2020
Last updated
04/21/2020
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