Individual
MR. TERRY RAY ROONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
789 WYANDOTTE AVE, LOGAN, OH 43138-1878
(740) 279-6162
Mailing address
789 WYANDOTTE AVE, LOGAN, OH 43138-1878
(740) 279-6162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376K00000X
Nurse's Aide
Primary
402040030218
OH
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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