Individual
MRS. COLEEN PHILLIPS CASILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 DUTCH MILL DR, FAIRBORN, OH 45324-2663
(937) 422-3453
Mailing address
2412 DUTCH MILL DR, FAIRBORN, OH 45324-2663
(937) 422-3453
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
06/28/2022
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