Organization
IN HOME HEALTH LLC
Active
Other names
ProMedica Hospice (Fremont)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
907 W STATE ST, SUITE A, FREMONT, OH 43420-2548
(419) 355-9209
(419) 355-9425
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0111HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012566
—
OH
Enumeration date
05/22/2006
Last updated
01/23/2022
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