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Individual

ASHLEY WALCZAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 N CLEVELAND MASSILLON RD STE 200, AKRON, OH 44333-2484
(330) 576-9700
Mailing address
1265 N PLAINVIEW DR, COPLEY, OH 44321-2117
(330) 689-6336

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2910854
OH
Enumeration date
12/14/2020
Last updated
05/24/2024
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