Donald Glenn Bennett

Individual provider Active NPI In Home Supportive Care Agency · Wadsworth, OH

NPI 1235960451 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1235960451
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
457 Rockglen Dr
Wadsworth, OH 44281-8117
Phone
(330) 606-9106
NPI assigned
Aug 9, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

457 Rockglen Dr
Wadsworth, OH 44281-8117

Mailing address

457 Rockglen Dr
Wadsworth, OH 44281-8117
Phone (330) 606-9106

Other providers in Wadsworth, OH

All providers in Wadsworth, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.