Individual
GARY W HUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
688 DICKERSON RD, WILLOWICK, OH 44095-4223
(440) 840-3978
Mailing address
688 DICKERSON RD, WILLOWICK, OH 44095-4223
(440) 840-3978
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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