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Organization

SOUTHWEST REGIONAL HOME CARE INC.

Active
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Organization

SOUTHWEST REGIONAL HOME CARE INC.

Active
Other names
Southwest Regional Medical Center Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BRAUER (RECEIVER'S AGENT/PROJECT MANAGER)
(513) 489-7399
Entity
Organization

Contact information

Practice address
419 HOME ST, GEORGETOWN, OH 45121-1407
(937) 378-7150
(937) 378-7151
Mailing address
419 HOME ST, GEORGETOWN, OH 45121-1407
(937) 378-7150
(937) 378-7151

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1115
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194258
—
OH
01
—
367118
MEDICARE ID-TYPE
OH
Enumeration date
10/12/2006
Last updated
07/29/2015
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