Organization
BRIAR HILL HEALTHCARE RES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDERSON C OHAMN LNHA (ADMINISTRATOR)
(440) 632-5241
Entity
Organization
Contact information
Practice address
15950 PIERCE ST, MIDDLEFIELD, OH 44062
(440) 632-5241
(440) 632-9362
Mailing address
PO BOX 277, 15950 PIERCE ST, MIDDLEFIELD, OH 44062
(440) 632-5241
(440) 632-9362
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040226
—
OH
01
—
4514490001
DME
—
Enumeration date
01/31/2007
Last updated
08/22/2020
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