Individual
HEATHER LEIGH CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 DEIDRICK RD, KENT, OH 44240-5223
(330) 676-2171
Mailing address
3380 DEIDRICK RD, KENT, OH 44240-5223
(330) 676-2171
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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