Organization
UNITED CHURCH HOMES MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ALLEN (CEO)
(740) 382-4885
Entity
Organization
Contact information
Practice address
170 E CENTER ST, MARION, OH 43302-1806
(937) 293-1313
Mailing address
1313 W DOROTHY LN, DAYTON, OH 45409-1309
(937) 293-1313
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
51-022729
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155149
ANTHEM
OH
01
—
0007338431
ATHENA
OH
05
—
0854320
—
OH
Enumeration date
07/20/2006
Last updated
08/22/2020
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