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Organization
VISITING NURSE SERVICE AND AFFILIATES
Active
Organization
VISITING NURSE SERVICE AND AFFILIATES
Active
Other names
Portage County Visiting Nurse Service & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY BAUMAN (ADMINISTRATOR)
(330) 861-6165
Entity
Organization
Contact information
Practice address
4080 BRIMFIELD PLAZA, KENT, OH 44240-6902
(330) 677-4666
(330) 677-1595
Mailing address
4080 BRIMFIELD PLAZA, KENT, OH 44240-6902
(330) 677-4666
(330) 677-1595
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
810120
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9072953
—
OH
Enumeration date
10/18/2006
Last updated
08/22/2020
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