Organization
GEORGIABOLTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIA BOLTON (INDEPENDENT HOME HEALTH CARE)
(419) 283-1850
Entity
Organization
Contact information
Practice address
202 TORRINGTON DR, TOLEDO, OH 43615-5431
(419) 531-8439
Mailing address
6126 WELSFORD CT, MAUMEE, OH 43537-1329
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101753
—
OH
Enumeration date
08/14/2014
Last updated
08/14/2014
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