Individual
KRISTI MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
983 PIPER RD, MANSFIELD, OH 44905-1359
(419) 631-2013
Mailing address
983 PIPER RD, MANSFIELD, OH 44905-1359
(419) 631-2013
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
TG334004
OH
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/12/2023
Last updated
12/16/2023
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