Jack Douglas Lemke
In Home Supportive Care in Beavercreek, OH. Individual provider (NPI-1).
NPI number1770180143
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1770180143
- Entity type
- Individual (NPI-1)
- Name
- Jack Douglas Lemke
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2020
- Certification date
- Oct 7, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
3597 Eastern DrBeavercreek, OH 45432-2205
Phone 937-232-7412
Mailing address
3597 Eastern DrBeavercreek, OH 45432-2205
Phone 937-232-7412
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All 18 In Home Supportive Care Agency providers in Beavercreek · All 1,497 providers in Beavercreek
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