Individual
ANGELA WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N MAIN ST, PLEASANT HILL, OH 45359-8065
(937) 684-1993
Mailing address
208 N MAIN ST, PLEASANT HILL, OH 45359-8065
(937) 684-1993
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
347C00000X
Private Vehicle
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183820
—
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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