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Individual

LAMAR M MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
347 WOODLAWN RESERVE RD, AKRON, OH 44305-3945
(330) 812-2265
Mailing address
347 WOODLAWN RESERVE RD, AKRON, OH 44305-3945
(330) 812-2265

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7718762
OH
347C00000X
Private Vehicle
RV683724
OH
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0266551
OH
Enumeration date
01/03/2021
Last updated
01/03/2021
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