Individual
MICHELLE ANNE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
476 CARTHAGE AVE, KENT, OH 44240-2304
(330) 697-4787
Mailing address
476 CARTHAGE AVE, KENT, OH 44240-2304
(330) 697-4787
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
6705408
OH
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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