Organization
PROMEDICA CONTINUING CARE SERVICES CORP.
Active
Parent organization
PROMEDICA HEALTH SYSTEM
Other names
ProMedica Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMEDICA HEALTH SYSTEM
Authorized official
GLADEEN ROBERTS PHD (PRESIDENT)
(419) 469-3780
Entity
Organization
Contact information
Practice address
2142 N COVE BLVD, SUITE 100, TOLEDO, OH 43606-3895
(419) 291-6840
(419) 480-8711
Mailing address
4345 SECOR RD, SUITE A, TOLEDO, OH 43623-4233
(419) 291-8240
(419) 480-1268
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179937
VENDOR LICENSE
OH
Enumeration date
07/29/2008
Last updated
05/01/2009
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