Organization
GROVE HOME MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM V GROVE (PRESIDENT)
(330) 343-6153
Entity
Organization
Contact information
Practice address
849 BOULEVARD ST, DOVER, OH 44622-2007
(330) 343-6153
(330) 364-1769
Mailing address
849 BOULEVARD ST, DOVER, OH 44622-2007
(330) 343-6153
(330) 364-1769
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155612
ANTHEM #
OH
05
—
0508141
—
OH
Enumeration date
06/16/2005
Last updated
08/22/2020
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