Individual
HAIDER QAYYUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4691 SCENIC DR, RAVENNA, OH 44266-9329
(234) 521-1509
Mailing address
4691 SCENIC DR, RAVENNA, OH 44266-9329
(234) 521-1509
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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