# OM HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205838067
- **Authorized official:** MS. KATHY DARLENE BECKER (OFFICE MANAGER)
- **Authorized official phone:** (440) 326-4355

## Contact information

- **Practice address:** 125 E BROAD ST, STE 215, ELYRIA, OH 44035
- **Practice address phone:** (440) 329-7305
- **Practice address fax:** (440) 329-7798
- **Mailing address:** 125 E BROAD ST, STE 202, ELYRIA, OH 44035
- **Mailing address phone:** (440) 329-7305
- **Mailing address fax:** (440) 329-7798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | OH | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 07/21/2022