Bethany Mirka

NPI #1962002659 in Ostrander, Ohio

Provider Information

NPI Number: 1962002659
Entity Type: Individual
Name: Bethany Mirka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 30, 2020
Last Updated: Nov 15, 2020

Practice Location

Address: 3000 RUSSELL RD
City: Ostrander
State: Ohio
ZIP Code: 43061-9406
Phone: (740) 666-2222

Specialties & Taxonomy Codes

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

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