Individual
SALLY PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2143 ORANGELAKE DR, LEWIS CENTER, OH 43035-7324
(937) 231-8777
Mailing address
2143 ORANGELAKE DR, LEWIS CENTER, OH 43035-7324
(937) 231-8777
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
RS390337
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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