Individual
MARC SPEAKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 MENGERT RD, LUCAS, OH 44843-9741
(419) 564-6348
Mailing address
3911 MENGERT RD, LUCAS, OH 44843-9741
(419) 564-6348
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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