Individual
ELAINE MUNCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 WOODED RUN RD, FELICITY, OH 45120-9500
(513) 876-6081
Mailing address
560 WOODED RUN RD, FELICITY, OH 45120-9500
(513) 876-6081
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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