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Individual

CECELIA MAE HUMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3003 CROSS RD, WINCHESTER, OH 45697-9749
(937) 779-2614
Mailing address
3003 CROSS RD, WINCHESTER, OH 45697-9749
(937) 779-2614

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101562
OH
05
0245159
OH
Enumeration date
09/29/2020
Last updated
09/29/2020
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