Individual
ANNIE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 N NICKELPLATE ST, LOUISVILLE, OH 44641-8525
(330) 612-7869
Mailing address
6500 N NICKELPLATE ST, LOUISVILLE, OH 44641-8525
(330) 612-7869
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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