Gary W Humble

NPI #1720681794 in Willowick, Ohio

Provider Information

NPI Number: 1720681794
Entity Type: Individual
Name: Gary W Humble
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Nov 20, 2020
Last Updated: Nov 20, 2020

Practice Location

Address: 688 DICKERSON RD
City: Willowick
State: Ohio
ZIP Code: 44095-4223
Phone: (440) 840-3978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Supports Brokerage	251X00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X
Driver	172A00000X	Primary

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