Individual
MICHAEL IOANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5909 CARNATION RD, WEST CARROLLTON, OH 45449-2901
(937) 286-7603
Mailing address
5909 CARNATION RD, WEST CARROLLTON, OH 45449-2901
(937) 286-7603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
518623
WAIVER PROVIDER
OH
Enumeration date
01/12/2021
Last updated
01/12/2021
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