Individual
MACKENZIE MINGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 EMERALD WAY, WAYNESVILLE, OH 45068-9586
(937) 409-3710
Mailing address
2800 EMERALD WAY, WAYNESVILLE, OH 45068-9586
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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