Individual
JANICE KENTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 LIMA ST, WAPAKONETA, OH 45895-1726
(419) 204-8038
Mailing address
902 LIMA ST, WAPAKONETA, OH 45895-1726
(419) 204-8038
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
347C00000X
Private Vehicle
RQ34778
OH
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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