Organization
GENTLEBROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANA FISCHER (HOME HEALTH ADMINISTRATOR)
(740) 622-7406
Entity
Organization
Contact information
Practice address
640 MENLO PARK ST SW, HARTVILLE, OH 44632-9698
(330) 877-7700
(330) 877-7701
Mailing address
880 SUNNYSIDE ST SW, HARTVILLE, OH 44632-9087
(330) 877-7700
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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