Individual
MARC LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12033 CLEVELAND AVE NW STE D, UNIONTOWN, OH 44685-8482
(330) 961-7587
Mailing address
12033 CLEVELAND AVE NW STE D, UNIONTOWN, OH 44685-8482
(330) 961-7587
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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