Individual
MOLLY BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 PINNACLE CLUB DR, GROVE CITY, OH 43123-8184
(917) 647-2054
Mailing address
1114 PINNACLE CLUB DR, GROVE CITY, OH 43123-8184
(917) 647-2054
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/12/2025
Last updated
03/19/2025
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