Organization
HOLZER HOSPITAL FOUNDATION
Active
Other names
Holzer Extra Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. CANADY (CHIEF EXECUTIVE OFFICER)
(740) 446-5051
Entity
Organization
Contact information
Practice address
2881 STATE ROUTE 160, GALLIPOLIS, OH 45631-8441
(740) 441-3914
(740) 441-3917
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-3914
(740) 441-3917
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170667
—
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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