John Holt III
Technician, Personal Care Attendant in Beavercreek, OH. Individual provider (NPI-1).
NPI number1407459373
StatusActive
Last updated in NPPESNov 20, 2020
Details
- NPI
- 1407459373
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Holt III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2020
- Certification date
- Nov 20, 2020
- Last updated
- Nov 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 103718675499 | OH | Yes |
| 253Z00000X | In Home Supportive Care | 103718675499 | OH | |
| 376J00000X | Homemaker | 103718675499 | OH | |
| 385H00000X | Respite Care | 103718675499 | OH |
Practice location
2445 Patrick BlvdBeavercreek, OH 45431-8497
Phone 937-750-5509
Mailing address
2445 Patrick BlvdBeavercreek, OH 45431-8497
Phone 937-750-5509
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