Individual
KELLY SKOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1899 HUBBARD RD, MADISON, OH 44057-2103
(440) 417-1751
(440) 417-0159
Mailing address
1899 HUBBARD RD, MADISON, OH 44057-2103
(440) 417-1751
(440) 417-0159
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
OH
251X00000X
Supports Brokerage Agency
—
OH
253Z00000X
In Home Supportive Care Agency
—
OH
261QA0600X
Adult Day Care Clinic/Center
—
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
347C00000X
Private Vehicle
—
OH
3747P1801X
Personal Care Attendant
—
OH
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
—
OH
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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