Gary Todd Mccollister

NPI #1366107922 in Blanchester, Ohio

Provider Information

NPI Number: 1366107922
Entity Type: Individual
Name: Gary Todd Mccollister
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Nov 8, 2021
Last Updated: Nov 8, 2021

Practice Location

Address: 1520 S STATE ROUTE 133
City: Blanchester
State: Ohio
ZIP Code: 45107-8483
Phone: (513) 519-2449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
In Home Supportive Care	253Z00000X
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X	Primary

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