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Organization
PEDIATRIC HOME CARE
Active
Organization
PEDIATRIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PAVEY (ADMINISTRAITOR)
(740) 505-8271
Entity
Organization
Contact information
Practice address
717 N NORTH ST, WASHINGTON COURT HOUSE, OH 43160-1466
(740) 505-8271
Mailing address
717 N NORTH ST, WASHINGTON COURT HOUSE, OH 43160-1466
(740) 505-8271
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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