Individual
MRS. MICRITA CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8568 OLD FIELD BIRCH DR, BLACKLICK, OH 43004-8833
(614) 607-4010
Mailing address
8568 OLD FIELD BIRCH DR, BLACKLICK, OH 43004-8833
(614) 607-4010
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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