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Organization
SACRED ARMS, INC.
Active
Organization
SACRED ARMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E YARWOOD (CEO/PRESIDENT)
(330) 482-3100
Entity
Organization
Contact information
Practice address
8600 GLENWOOD AVE STE 140, BOARDMAN, OH 44512-6565
(330) 482-3100
(330) 482-3267
Mailing address
8600 GLENWOOD AVE STE 140, BOARDMAN, OH 44512-6565
(330) 482-3100
(330) 482-3267
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
36-8133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142425
—
OH
01
—
2291514
PASSPORT
OH
01
—
2645963
CARESTAR
OH
01
—
3101468
MEDICAID/MRDD
OH
Enumeration date
08/14/2006
Last updated
11/07/2017
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