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Organization
CHS OF ASHTABULA INC
Active
Organization
CHS OF ASHTABULA INC
Active
Other names
Capital Health Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEN BERNSEN (PRESIDENT)
(937) 277-0505
Entity
Organization
Contact information
Practice address
1100 LAKE AVE, ASHTABULA, OH 44004
(440) 964-3332
Mailing address
1100 LAKE AVE, ASHTABULA, OH 44004-2930
(440) 964-3332
(440) 427-4014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079240
—
OH
Enumeration date
11/10/2010
Last updated
05/28/2024
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