Individual
KELLI JEAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29042 HIDE A WAY HILLS, SUGAR GROVE, OH 43155-9628
(937) 645-0728
Mailing address
RR 1 BOX 580, SUGAR GROVE, OH 43155-9628
(937) 645-0728
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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