Individual
SUSAN UMPHRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4249 STATE ROUTE 235, ADA, OH 45810-9506
(567) 204-9241
Mailing address
4249 STATE ROUTE 235, ADA, OH 45810-9506
(567) 204-9241
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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