Individual
SAMUEL WHITLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7255 BAILOW LN, MCCORDSVILLE, IN 46055-9842
(317) 289-7257
Mailing address
7255 BAILOW LN, MCCORDSVILLE, IN 46055-9842
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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