Individual
GREGORY L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HOME HEALTH PROVIDER
Contact information
Practice address
40 MANN AVE, FAIRBORN, OH 45324-5019
(937) 422-5187
Mailing address
40 MANN AVE, FAIRBORN, OH 45324-5019
(937) 422-5187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2699987
OH
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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