Organization
HOMETOWN ANCILLARY SERVICES LLC
Active
Other names
StepUP Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ KUMAR (CEO)
(614) 505-7602
Entity
Organization
Contact information
Practice address
1303 W 1ST ST, SPRINGFIELD, OH 45504-1920
(937) 717-4045
(937) 717-4811
Mailing address
2400 CORPORATE EXCHANGE DR, SUITE 102, COLUMBUS, OH 43231-7605
(614) 505-7633
(614) 847-1106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091689
—
OH
Enumeration date
09/06/2013
Last updated
10/14/2015
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