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Individual

MS. WILLETTE RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1472 COMMONWEALTH DR, AKRON, OH 44313-5714
(330) 338-6332
(234) 334-5404
Mailing address
1472 COMMONWEALTH DR, AKRON, OH 44313-5714
(330) 338-6332
(234) 334-5404

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251X00000X
Supports Brokerage Agency
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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