Individual
GLEN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
897 PREBLE DR, BLACKLICK, OH 43004-8320
(614) 377-5089
Mailing address
897 PREBLE DR, BLACKLICK, OH 43004-8320
(614) 377-5089
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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