Individual
BROEDY GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5522 WILLOW DALE RD, URBANA, OH 43078-8448
(937) 408-3276
Mailing address
5522 WILLOW DALE RD, URBANA, OH 43078-8448
(937) 408-3276
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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