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Individual

CHANNEL LEE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PROVIDER

Contact information

Practice address
2235 MANCHESTER RD, AKRON, OH 44314-3744
(330) 631-9688
Mailing address
2235 MANCHESTER RD, AKRON, OH 44314-3744
(330) 631-9688

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
OH
347C00000X
Private Vehicle
Primary
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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