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Organization
TRACY O ST.CLAIR LLC
Active
Organization
TRACY O ST.CLAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ONNA ST.CLAIR (CEO)
(330) 704-2762
Entity
Organization
Contact information
Practice address
831 HEMLOCK ST NW, MASSILLON, OH 44647-8817
(330) 704-2762
Mailing address
831 HEMLOCK ST NW, MASSILLON, OH 44647-8817
(330) 704-2762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2166991
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085954
—
OH
Enumeration date
11/18/2013
Last updated
11/18/2013
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