Individual
MRS. KELLEY JEAN DUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46058 RUSSIA RD, ELYRIA, OH 44035
(440) 371-9772
Mailing address
46058 RUSSIA RD, ELYRIA, OH 44035
(440) 371-9772
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
OH
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2222875
—
OH
01
—
4700854
OB OT DD
OH
Enumeration date
10/02/2020
Last updated
10/02/2020
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