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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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