Individual
HALEY S BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6354 COWGILL LN, CUMBERLAND, OH 43732-9403
(740) 638-2709
Mailing address
6354 COWGILL LN, CUMBERLAND, OH 43732-9403
(740) 638-2709
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN227735
OH
376G00000X
Nursing Home Administrator
RN227735
OH
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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