Organization
CASSIE NICHOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE NICHOLS (LPN)
(740) 526-3601
Entity
Organization
Contact information
Practice address
50359 DOVER RIDGE RD, POWHATAN PT, OH 43942-9744
(740) 526-3601
Mailing address
50359 DOVER RIDGE RD, POWHATAN PT, OH 43942-9744
(740) 526-3601
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN.124740-MEDS
OH
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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