Individual
MARCENTA CLAY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 PARK LN APT D, MIDDLETOWN, OH 45042-3426
(513) 464-1812
Mailing address
1114 PARK LN APT D, MIDDLETOWN, OH 45042-3426
(513) 464-1812
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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