Individual
KAYLA JILLYNN YARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9538 CLOVERLEAF RD APT C, WINDHAM, OH 44288-1141
(330) 839-5590
Mailing address
9538 CLOVERLEAF RD APT C, WINDHAM, OH 44288-1141
(330) 839-5590
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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