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Organization
VISITING NURSE SERVICE AND AFFILIATES
Active
Organization
VISITING NURSE SERVICE AND AFFILIATES
Active
Other names
Medina County Visiting Nurse Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY BAUMAN (ADMINISTRATOR)
(330) 861-6165
Entity
Organization
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-4053
Mailing address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-4053
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
10/04/2006
Last updated
08/22/2020
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