Organization
OHIO HEARTLAND COMMUNITY ACTIOM COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM LAVELLE (CFO)
(740) 387-1039
Entity
Organization
Contact information
Practice address
372 E CENTER ST, BOX 779, MARION, OH 43302-4126
(740) 387-1039
Mailing address
372 E CENTER ST, BOX 779, MARION, OH 43302-4126
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17086548
PASSPORT
OH
Enumeration date
09/07/2007
Last updated
09/07/2007
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