Individual
ERIC EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5591 RED HAWK LN, SYLVANIA, OH 43560-8509
(419) 517-1249
Mailing address
5591 RED HAWK LN, SYLVANIA, OH 43560-8509
(419) 517-1249
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2298473
MEDICAID PROVIDER NUMBER
OH
Enumeration date
06/20/2014
Last updated
06/30/2026
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