Individual
MRS. MELINDA LOUISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WEST STREET, NEW VIENNA, OH 45159-0257
(937) 571-9917
Mailing address
PO BOX 257, NEW VIENNA, OH 45159-0257
(937) 571-9917
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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