Individual
DALE LEON SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13633 STATE ROUTE 56, KINGSTON, OH 45644-9683
(740) 637-0427
Mailing address
13633 STATE ROUTE 56, KINGSTON, OH 45644-9683
(740) 637-0427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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