Organization
HOLZER SENIOR CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CRABTREE (VICE PRESIDENT FINANCE)
(740) 288-0192
Entity
Organization
Contact information
Practice address
380 COLONIAL DR, BIDWELL, OH 45614-9215
(740) 446-5001
(740) 446-5101
Mailing address
380 COLONIAL DR, BIDWELL, OH 45614-9215
(740) 446-5001
(740) 446-5101
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
N/A IN OHIO
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139693
—
OH
Enumeration date
10/10/2006
Last updated
10/11/2017
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