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Organization
MONTGOMERY COUNTY COURT HOUSE
Active
Organization
MONTGOMERY COUNTY COURT HOUSE
Active
Other names
Public Health Dayton & Montgomery County - Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A. COOPER MS (HEALTH COMMISSIONER)
(937) 225-5700
Entity
Organization
Contact information
Practice address
117 S MAIN ST HOME CARE - 3RD FLOOR, DAYTON, OH 45422
(937) 225-4500
(937) 496-3318
Mailing address
117 S MAIN ST, FSO - SECOND FLOOR, DAYTON, OH 45422-2005
(937) 225-4543
(937) 496-3318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002884
ANTHEM
OH
01
—
0048719
MOLINA
OH
05
—
0048719
—
OH
01
—
31600172
HUMANA
OH
Enumeration date
12/14/2006
Last updated
07/27/2018
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