Individual
JUDY VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1177 WARREN RD, OSTRANDER, OH 43061-9609
(440) 263-7576
Mailing address
1177 WARREN RD, OSTRANDER, OH 43061-9609
(440) 263-7576
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
3747P1801X
Personal Care Attendant
—
OH
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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