Individual
AMY DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 PEKIN RD, SPRINGBORO, OH 45066-7434
(937) 657-8111
Mailing address
3090 PEKIN RD, SPRINGBORO, OH 45066-7434
(937) 657-8111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
M8302036
OH
343900000X
Non-emergency Medical Transport (VAN)
M8302036
OH
376J00000X
Homemaker
M8302036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8303026
—
OH
Enumeration date
12/31/2020
Last updated
12/31/2020
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