Individual
BRAND SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 GRANT ST, ELYRIA, OH 44035-5922
(440) 396-4062
Mailing address
114 GRANT ST, ELYRIA, OH 44035-5922
(440) 396-4062
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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