Individual
MR. JOHN HOLT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2445 PATRICK BLVD, BEAVERCREEK, OH 45431-8497
(937) 750-5509
Mailing address
2445 PATRICK BLVD, BEAVERCREEK, OH 45431-8497
(937) 750-5509
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
103718675499
OH
3747P1801X
Personal Care Attendant
Primary
103718675499
OH
376J00000X
Homemaker
103718675499
OH
385H00000X
Respite Care
103718675499
OH
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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