Individual provider · NPI-1
Monique Janay Ballard
In Home Supportive Care · Youngstown, OH
NPI number1245889963
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1245889963
- Entity type
- Individual (NPI-1)
- Name
- Monique Janay Ballard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2019
- Last updated
- Sep 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | 0209195 | OH | Yes |
Practice location
940 Plazaview Ct Bldg MYoungstown, OH 44505-3316
Phone 330-746-1975
Mailing address
3418 Wayside DrYoungstown, OH 44502-3061
Phone 330-953-9017
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