Organization
OVER THE HILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN HOFFMAN (OFFICE MANAGER)
(330) 270-9620
Entity
Organization
Contact information
Practice address
10109 HICKORY RIDGE DR, BRECKSVILLE, OH 44141-3617
(330) 270-9620
Mailing address
PO BOX 8501, WARREN, OH 44484-0501
(330) 270-9620
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2717975
—
OH
Enumeration date
07/15/2008
Last updated
07/15/2008
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