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Organization

ST.MICHAEL INSPIRATIONAL CARE LLC

Active
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Organization

ST.MICHAEL INSPIRATIONAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL FRUNWI ATIA (PRESIDENT CEO)
(862) 215-6791
Entity
Organization

Contact information

Practice address
3208 ROESCH BLVD APT 4, FAIRFIELD, OH 45014-7000
(862) 215-6791
Mailing address
3208 ROESCH BLVD APT 4, FAIRFIELD, OH 45014-7000
(862) 215-6791

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
0903419
OH
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
347C00000X
Private Vehicle
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—

Other

Enumeration date
03/18/2013
Last updated
03/18/2013
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