Delerisajblank-Inc
NPI #1679637987 in Mount Orab, Ohio
Provider Information
- NPI Number
- 1679637987
- Entity Type
- Organization
- Organization Name
- Delerisajblank-Inc
- Primary Specialty
- Contractor - Home Modifications
- Enumeration Date
- Dec 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 16507 CLEMENTS RD
- City
- Mount Orab
- State
- Ohio
- ZIP Code
- 45154-9765
- Phone
- (937) 444-3596
Authorized Official
- Name
- MRS. DELERISA JANET BLANK, HOMECARE PROVIDER
- Title
- OWNER
- Phone
- (937) 444-3596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Home Modifications — Home Modifications |
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