Individual
KELLY MELROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 COUNTY ROAD 26, FOREST, OH 45843-9165
(567) 295-1003
Mailing address
1515 COUNTY ROAD 26, FOREST, OH 45843-9165
(567) 295-1003
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
SM346233
OH
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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