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Individual

NILES FRENCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4826 DEER RIDGE CT, LIBERTY TWP, OH 45011-7405
(937) 509-1091
Mailing address
4826 DEER RIDGE CT, LIBERTY TWP, OH 45011-7405

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
OH
3747P1801X
Personal Care Attendant
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0906717
OH
Enumeration date
09/14/2020
Last updated
09/14/2020
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