Individual Home Health Provider

NPI 1114218641 - Respite Care - 385H00000X

NPI Details
NPI 1114218641
Enumeration Date 05/02/2011
Last Updated 09/16/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JESSICA JESSICA
Position LPN
Phone (937) 631-5908
Fax
Practice Location
1003 S HIGH ST
URBANA OH, 43078-2513, US
Phone (937) 631-5908
Fax
Business Location
1003 S HIGH ST
URBANA OH, 43078-2513, US
Phone (937) 631-5908
Fax
Toxanomy
Taxonomy Code 385H00000X
License State Ohio
License Number 141729
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According to our database, Individual Home Health Provider NPI is 1114218641, taxonomy code is 385H00000X and license number is 141729, license state is located at Ohio. Individual Home Health Provider physically located at 1003 S High St, Urbana OH, 43078-2513. NPI Number 1033115704 has the healthcare provider type.

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1114218641 NPI number is provided on an as is basis without warranty of any kind. 1114218641 is maintained by the National Plan & Provider Enumeration System. The contents of Individual Home Health Provider are for informational purposes only.