Individual
SHANNON C HAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 N LANSDOWNE AVE, DAYTON, OH 45417-8515
(937) 703-3274
Mailing address
188 N LANSDOWNE AVE, DAYTON, OH 45417-8515
(937) 703-3274
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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