Individual
ELLEN HENRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 S MAIN ST, SWANTON, OH 43558-1436
(419) 279-2983
Mailing address
623 S MAIN ST, SWANTON, OH 43558-1436
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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