Organization
CHARLES P. BRADLEY'S CONSTANCE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA R SOWERS (CHIEF OPERATING OFFICER)
(740) 477-8689
Entity
Organization
Contact information
Practice address
776 N COURT ST, CIRCLEVILLE, OH 43113-1262
(740) 477-8689
(740) 477-8693
Mailing address
776 N COURT ST, CIRCLEVILLE, OH 43113-1262
(740) 477-8689
(740) 477-8693
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2304296
—
OH
Enumeration date
10/28/2020
Last updated
10/28/2020
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