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Annie Elizabeth Koprivec

In Home Supportive Care in Canton, OH. Individual provider (NPI-1).

NPI number1154029338
StatusActive
Last updated in NPPESFeb 17, 2023

Details

NPI
1154029338
Entity type
Individual (NPI-1)
Name
Annie Elizabeth Koprivec
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 17, 2023
Certification date
Feb 17, 2023
Last updated
Feb 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
343900000X Non-emergency Medical Transport (VAN)–OH
376J00000X Homemaker––

Practice location

1715 53rd St Sw
Canton, OH 44706-4370

Phone 330-605-4772

Mailing address

1715 53rd St Sw
Canton, OH 44706-4370

Phone 330-605-4772

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