Most Relevant Information
Provider Data
| NPI Number: | 1003332297 |
| Provider Name: | HALEY MARCUM |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
3086 STATE ROUTE 160
GALLIPOLIS
OH
456318409
Practice Location Phone/Fax
| Phone: | 7404465500 |
| Fax: | 7404462159 |
Provider Mailing Location
3086 STATE ROUTE 160
GALLIPOLIS
OH
456318409
Provider Mailing Phone/Fax
| Phone: | 7404465500 |
| Fax: | 7404462159 |