Individual
CARLY ANNE LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 LINDEN DR, PAINESVILLE, OH 44077-1946
(401) 207-7253
Mailing address
205 LINDEN DR, PAINESVILLE, OH 44077-1946
(401) 207-7253
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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