CHARLES MICHAEL BLOSTIC

STREETSBORO, OH
NPI1588231856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-06-07
Last Update Date2021-06-07
Business Address
CHARLES MICHAEL BLOSTIC
1044 SAGRAMORE DR S
STREETSBORO, OH 44241-4625
Phone number: 330-842-1917
Mailing Address
CHARLES MICHAEL BLOSTIC
1440 RUSSELL DR
STREETSBORO, OH 44241-8330
Phone number: 234-284-5561