Mia Long
Adult Companion in Twinsburg, OH. Individual provider (NPI-1).
NPI number1295569739
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1295569739
- Entity type
- Individual (NPI-1)
- Name
- Mia Long
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
10315 Sandalwood LnTwinsburg, OH 44087-1368
Phone 440-715-5000
Mailing address
10315 Sandalwood LnTwinsburg, OH 44087-1368
Phone 440-715-5000
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