Individual
SHELBY LEA MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 FAIRMONT CT APT A, TROY, OH 45373-7902
(937) 451-9850
Mailing address
2702 FAIRMONT CT APT A, TROY, OH 45373-7902
(937) 451-9850
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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