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Organization
210 FOWLER ROAD HOME CARE LLC
Active
Organization
210 FOWLER ROAD HOME CARE LLC
Active
Other names
The Province of Wexford
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SIMON (MEMBER)
(419) 247-2800
Entity
Organization
Contact information
Practice address
210 FOWLER RD, WARRENDALE, PA 15086-1116
(952) 358-5100
Mailing address
4500 DORR ST, TOLEDO, OH 43615-4040
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
02/06/2025
Last updated
09/18/2026
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