Organization
EDGELL FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE EDGELL (CEO)
(330) 465-5980
Entity
Organization
Contact information
Practice address
5393 SECREST RD, WOOSTER, OH 44691-8647
(330) 465-5980
Mailing address
5393 SECREST RD, WOOSTER, OH 44691-8647
(330) 465-5980
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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