Mary Weller

NPI #1477945194 in Springfield, Ohio

Provider Information

NPI Number: 1477945194
Entity Type: Organization
Organization Name: Mary Weller
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 3331 WENDOVER ST
City: Springfield
State: Ohio
ZIP Code: 45506-4315
Phone: (931) 215-8170

Authorized Official

Name: MARY WELLER
Title: RN
Phone: (937) 215-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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