Individual
MISS IRELAND MAKENNA FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2960 KOOP RD, LIMA, OH 45807-2249
(567) 825-1127
Mailing address
2960 KOOP RD, LIMA, OH 45807-2249
(567) 825-1127
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
OH
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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