Individual
RILEY A KACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 BUNKER HILL RD, ASHTABULA, OH 44004-7615
(440) 789-0273
Mailing address
1320 BUNKER HILL RD, ASHTABULA, OH 44004-7615
(440) 789-0273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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