Individual
SCOTTY ANTHONY SLY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5290 GARDENDALE AVE, DAYTON, OH 45417-8270
(937) 397-8221
Mailing address
5290 GARDENDALE AVE, DAYTON, OH 45417-8270
(937) 397-8221
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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