Individual
JOAN HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 E SNODGRASS RD, PIQUA, OH 45356-8542
(937) 214-7168
Mailing address
4425 E SNODGRASS RD, PIQUA, OH 45356-8542
(937) 214-7168
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2391326
—
OH
Enumeration date
12/16/2020
Last updated
12/16/2020
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