Individual
MRS. CAROL J MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32799 MORAVIAN TRL, TIPPECANOE, OH 44699-9405
(133) 034-0547
Mailing address
32799 MORAVIAN TRL, TIPPECANOE, OH 44699-9405
(133) 034-0547
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0249406
OH
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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