Organization
JASMOND MCCOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMOND CARIE MCCOY (INDEPENDENT PROVIDER)
(330) 809-3562
Entity
Organization
Contact information
Practice address
1238 WILLARD AVE SE, WARREN, OH 44484-4440
(330) 809-3562
Mailing address
1238 WILLARD AVE SE, WARREN, OH 44484-4440
(330) 809-3562
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
TG441174
OH
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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