Individual
MEGAN SU ROSSELOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 GARWOOD DR, PAINESVILLE, OH 44077-5429
(937) 823-9208
Mailing address
1155 GARWOOD DR, PAINESVILLE, OH 44077-5429
(937) 823-9208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/17/2018
Last updated
11/11/2024
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