Individual
NANCY ANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4617 A COX DR, STOW, OH 44224
(330) 807-1113
Mailing address
4617 A COX DR, STOW, OH 44224
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
RT570644
OH
343900000X
Non-emergency Medical Transport (VAN)
RT570644
OH
347C00000X
Private Vehicle
RT570644
OH
3747P1801X
Personal Care Attendant
RT570644
OH
376J00000X
Homemaker
Primary
RT570644
OH
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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