Organization
HOSPICE OF NORTHWEST OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EARL RUSSELL (PRESIDENT AND CEO)
(419) 931-5109
Entity
Organization
Contact information
Practice address
30000 E RIVER RD, PERRYSBURG, OH 43551-3429
(419) 661-4001
(419) 661-4015
Mailing address
30000 E RIVER RD, PERRYSBURG, OH 43551-3429
(419) 661-4001
(419) 661-4015
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0100HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820099
—
OH
05
—
1617035
—
MI
Enumeration date
05/23/2005
Last updated
01/15/2024
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