Organization
INDIVIDUAL HOME HEALTH PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ADAMS (LPN)
(937) 631-5908
Entity
Organization
Contact information
Practice address
1003 S HIGH ST, URBANA, OH 43078-2513
(937) 631-5908
Mailing address
1003 S HIGH ST, URBANA, OH 43078-2513
(937) 631-5908
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
141729
OH
Other
Enumeration date
05/02/2011
Last updated
09/16/2011
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