Organization
ASSURED HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY HALL RN, MS (ADMINISTRATOR)
(937) 294-2803
Entity
Organization
Contact information
Practice address
1250 W DOROTHY LN, SUITE # 204, DAYTON, OH 45409-1317
(937) 294-2803
(937) 294-4946
Mailing address
1250 W DOROTHY LN, SUITE # 204, DAYTON, OH 45409-1317
(937) 294-2803
(937) 294-4946
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157100
WAIVER
OH
05
—
0162185
—
OH
01
—
3600965765
CLIA
OH
Enumeration date
08/02/2005
Last updated
08/22/2020
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