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Individual

ELLIE STORMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
830 KING RIDGE DR, ASHLAND, OH 44805-3667
(567) 215-3921
Mailing address
419 SANDUSKY ST, ASHLAND, OH 44805-2039

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
251E00000X
Home Health Agency
Primary
OH
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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