Individual
JULIA TIMBERLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
762 INGERSOL DR, KETTERING, OH 45429-3454
(937) 510-2076
Mailing address
762 INGERSOL DR, KETTERING, OH 45429-3454
(937) 510-2076
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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