Individual
MRS. AMANDA MARIE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 INDIAN HILL DRIVE, PO.BOX 312, GRATIS, OH 45330-0312
(937) 728-9468
Mailing address
104 INDIAN HILL DRIVE, PO.BOX 312, GRATIS, OH 45330-0312
(937) 728-9468
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/18/2024
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