Organization
AMANDACARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULINE ANN CROCCO (CEO)
(614) 884-8880
Entity
Organization
Contact information
Practice address
6430 E MAIN ST, SUITE 201, REYNOLDSBURG, OH 43068-2367
(614) 884-8880
(614) 884-8886
Mailing address
6430 E MAIN ST, SUITE 201, REYNOLDSBURG, OH 43068-2367
(614) 884-8880
(614) 884-8886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2011594
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011594
—
OH
Enumeration date
05/15/2006
Last updated
01/17/2013
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