Individual provider · Type 1 NPI

Shelley Provencher

Homemaker · Northwood, OH

NPI number 1083374466 Active

Practice location

3616 Eastpointe Dr Apt 102
Northwood, OH 43619-2175

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1083374466

Shelley Provencher's National Provider Identifier is 1083374466, issued on Dec 27, 2021. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Northwood, OH. The record was last updated on Dec 27, 2021.