Individual
MICHAEL ALAN JUERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W SILVER ST UNIT B, LEBANON, OH 45036-2778
(513) 372-2913
Mailing address
210 W SILVER ST UNIT B, LEBANON, OH 45036-2778
(513) 372-2913
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
09/24/2024
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