Individual
SARAH L WOODGEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5748 RAUCH RD, CARROLL, OH 43112-9650
(740) 756-9158
Mailing address
5748 RAUCH RD, CARROLL, OH 43112-9650
(740) 756-9158
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301646
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES PROVIDER NUMBER
OH
05
—
2666860
—
OH
01
—
537980
ATN NUMBER
OH
Enumeration date
09/15/2020
Last updated
09/15/2020
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