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Organization
VECTREN
Active
Organization
VECTREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENDON MICHAEL SANDERS RN,CEN,EMTP (OWNER)
(937) 508-6493
Entity
Organization
Contact information
Practice address
7587 W ST RT 29, URBANA, OH 43078
(937) 508-6493
Mailing address
7587 W ST RT 29, URBANA, OH 43078
(937) 508-6493
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN311586
OH
251F00000X
Home Infusion Agency
RN311586
OH
251J00000X
Nursing Care Agency
RN 311586
OH
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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