Robert A Wise

NPI #1669103008 in Enon, Ohio

Provider Information

NPI Number: 1669103008
Entity Type: Individual
Name: Robert A Wise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 5925 GARRISON RD
City: Enon
State: Ohio
ZIP Code: 45323-9723
Phone: (937) 360-7921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Private Vehicle	347C00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X	Primary

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