Individual
DENISE LYNN ECKROATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 ARBOR AVE SE APT 510, WARREN, OH 44484-4448
(330) 646-1513
Mailing address
1380 ARBOR AVE SE APT 510, WARREN, OH 44484-4448
(330) 646-1513
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
544616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1K73-FE3-NY85
—
OH
Enumeration date
11/09/2020
Last updated
11/09/2020
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