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Individual

HUGH WONDERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8199 FERGUSON RD, STREETSBORO, OH 44241-5838
(330) 687-8705
Mailing address
8199 FERGUSON RD, STREETSBORO, OH 44241-5838
(330) 687-8705

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
11/28/2022
Last updated
11/28/2022
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