Individual
SHELLEY K BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 PARKVIEW DR LOT 5, BOWLING GREEN, OH 43402-1319
(419) 601-8434
Mailing address
315 PARKVIEW DR LOT 5, BOWLING GREEN, OH 43402-1319
(419) 601-8434
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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