Individual
MR. MICHAEL LEE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 COLUMBUS AVE APT 200B, MARTINS FERRY, OH 43935-2712
(740) 298-2567
Mailing address
630 COLUMBUS AVE APT 200B, MARTINS FERRY, OH 43935-2712
(740) 298-2567
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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