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Organization
GREAT LAKES HEALTHCARE OF OHIO, LLC
Active
Organization
GREAT LAKES HEALTHCARE OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH GALLAGHER DPT (OWNER)
(330) 472-0372
Entity
Organization
Contact information
Practice address
2494 MAPLEHURST DR, STOW, OH 44224-2755
(330) 472-0372
Mailing address
9350 S PADRE ISLAND DR APT 113, CORPUS CHRISTI, TX 78418-5514
(330) 472-0372
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
06/09/2015
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