Individual
MYCLE SHADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
689 GREENWOOD AVE, AKRON, OH 44320-1880
(234) 237-2330
Mailing address
689 GREENWOOD AVE, AKRON, OH 44320-1880
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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