Individual
MR. BRANDEN LEE HANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 WATSON WAY, POWELL, OH 43065-7213
(740) 602-1276
Mailing address
275 WATSON WAY, POWELL, OH 43065-7213
(740) 602-1276
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5101286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228256
—
OH
Enumeration date
09/25/2020
Last updated
09/25/2020
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