Organization
BRIDGETT TILLMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGETT FAYE TILLMAN LPN (LPN)
(937) 451-2972
Entity
Organization
Contact information
Practice address
818 FOUNTAIN ST, TROY, OH 45373-2816
(937) 451-2972
Mailing address
818 FOUNTAIN ST, TROY, OH 45373-2816
(937) 451-2972
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
144294
OH
385H00000X
Respite Care
144294
OH
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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