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Organization
HOME STATE HEALTHCARE, INC
Active
Organization
HOME STATE HEALTHCARE, INC
Active
Other names
Home State Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROOMHALL (CEO)
(937) 335-2689
Entity
Organization
Contact information
Practice address
410 W MAIN ST, TROY, OH 45373-3244
(937) 335-2689
(937) 835-6223
Mailing address
410 W MAIN ST, TROY, OH 45373-3244
(937) 335-2689
(937) 835-6223
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165372
—
OH
Enumeration date
05/10/2018
Last updated
05/10/2018
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