Individual
ALEXA HOMERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 BROADVIEW AVE, MANSFIELD, OH 44903-1944
(419) 989-5226
Mailing address
459 BROADVIEW AVE, MANSFIELD, OH 44903-1944
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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