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Organization

HOME HEALTH PROVIDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE ALBERTSON (HOME HEALTH PROVIDER)
(740) 545-9760
Entity
Organization

Contact information

Practice address
601 S OAK ST, WEST LAFAYETTE, OH 43845-1348
(740) 545-9760
(740) 545-9760
Mailing address
601 S OAK ST, WEST LAFAYETTE, OH 43845-1348
(740) 545-9760
(740) 545-9760

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2170225
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2170225
OH
Enumeration date
05/15/2007
Last updated
08/22/2020
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