Hometown Pediatric Care, Llc

NPI 1417392564 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1417392564
Enumeration Date 05/02/2013
Last Updated 05/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Position OWNER
Phone (740) 286-5455
Fax (740) 286-6782
Practice Location
JACKSON OH, 45640-7019, US
Phone (740) 286-5455
Fax (740) 286-6782
Business Location
PO BOX 959
JACKSON OH, 45640-0959, US
Phone (740) 286-5455
Fax (740) 286-6782
Taxonomy Code 235Z00000X
License State Ohio
License Number SP.9753
Remove 1417392564 NPI Number

According to our database, Hometown Pediatric Care, Llc NPI is 1417392564, taxonomy code is 235Z00000X and license number is SP.9753, license state is located at Ohio. Hometown Pediatric Care, Llc physically located at 504 Mccarty Ln, Jackson OH, 45640-7019. NPI Number 1033115704 has the healthcare provider type.

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1417392564 NPI number is provided on an as is basis without warranty of any kind. 1417392564 is maintained by the National Plan & Provider Enumeration System. The contents of Hometown Pediatric Care, Llc are for informational purposes only.