Organization
CHAMPION CITY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME VINSON (OWNER)
(937) 408-1231
Entity
Organization
Contact information
Practice address
1030 N FOUNTAIN AVE, SPRINGFIELD, OH 45504-2228
(937) 504-2915
Mailing address
1030 N FOUNTAIN AVE, SPRINGFIELD, OH 45504-2228
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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