Organization
AC HOMENURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE PETERS (PRESIDENT)
(330) 393-4663
Entity
Organization
Contact information
Practice address
2921 YOUNGSTOWN RD SE, WARREN, OH 44484-5260
(330) 393-4663
Mailing address
2921 YOUNGSTOWN RD SE, WARREN, OH 44484-5260
(330) 393-4663
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01533513
—
PA
05
—
0933137
—
OH
Enumeration date
09/26/2006
Last updated
10/01/2007
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