Individual
PHILLIP THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 SENECA BLVD APT 403, BROADVIEW HEIGHTS, OH 44147-2492
(216) 320-7696
Mailing address
1400 SENECA BLVD APT 403, BROADVIEW HEIGHTS, OH 44147-2492
(216) 320-7696
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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