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Organization

FAMILY MATTERS 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NACHAEL MARIE CHURCH (STNA)
(419) 779-4694
Entity
Organization

Contact information

Practice address
3226 DOLORES AVE, TOLEDO, OH 43607-2724
(419) 779-4694
Mailing address
3226 DOLORES AVE, TOLEDO, OH 43607-2724
(419) 779-4694

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
OH
376K00000X
Nurse's Aide
Primary
377746511098
OH

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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