Individual
DESTINY NICOLE FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 S PROSPECT ST, RAVENNA, OH 44266-3044
(330) 221-2669
(330) 235-9003
Mailing address
452 S PROSPECT ST, RAVENNA, OH 44266-3044
(330) 221-2669
(330) 235-9003
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
UG845168
OH
253Z00000X
In Home Supportive Care Agency
UG845168
OH
3747P1801X
Personal Care Attendant
UG845168
OH
376J00000X
Homemaker
Primary
UG845168
OH
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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