Individual
CASEY ELLEN EBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N MAIN ST, GROVER HILL, OH 45849-9530
(419) 439-9853
Mailing address
209 N MAIN ST, GROVER HILL, OH 45849-9530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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