Individual
REBEKAH CALALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N JACKSON ST, SPENCER, OH 44275-8501
(440) 371-5422
Mailing address
PO BOX 263, SPENCER, OH 44275-0263
(440) 371-5422
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239627
—
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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