Gary W Humble
Gary W Humble is a Supports Brokerage Agency in Willowick, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
688 Dickerson RdWillowick, OH 44095-4223
Phone: (440) 840-3978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|---|
| Supports Brokerage Agency | Taxonomy 251X00000X |
| Personal Care Attendant | Taxonomy 3747P1801X |
| Homemaker | Taxonomy 376J00000X |
Record details
| NPI number | 1720681794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2020 |
| Last updated in NPPES | November 20, 2020 |
| Certification date | November 20, 2020 |
| Mailing address | 688 Dickerson Rd, Willowick, OH 44095-4223 |