Individual
LAVON M. BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 N DEFIANCE ST, STRYKER, OH 43557-9472
(419) 344-5118
Mailing address
417 N DEFIANCE ST # 544, STRYKER, OH 43557-9472
(419) 344-5118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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