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Organization
PATRIOT HOUSECALL, INC
Active
Organization
PATRIOT HOUSECALL, INC
Active
Other names
Independence Visiting Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DAVIS (OWNER)
(330) 306-9651
Entity
Organization
Contact information
Practice address
986 TIBBETTS WICK RD, GIRARD, OH 44420-1120
(330) 306-9651
(330) 395-0133
Mailing address
986 TIBBETTS WICK RD, GIRARD, OH 44420-1138
(330) 980-9009
(330) 395-0133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/16/2015
Last updated
08/05/2022
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