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Organization
SUMMIT ACRES HOME CARE
Active
Organization
SUMMIT ACRES HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J CROCK (ADMINISTRATOR)
(740) 732-5712
Entity
Organization
Contact information
Practice address
39 SUMMIT CT, CALDWELL, OH 43724-9033
(740) 732-5712
(740) 732-7350
Mailing address
39 SUMMIT CT, CALDWELL, OH 43724-9033
(740) 732-5712
(740) 732-7350
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
OH
343900000X
Non-emergency Medical Transport (VAN)
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183813
—
OH
Enumeration date
07/08/2008
Last updated
07/08/2008
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