Organization
A J&B HERMAN ENTERPRISE, INC.
Active
Other names
APDS HEALTH SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA M HERMAN (PRESIDENT CEO)
(419) 872-4775
Entity
Organization
Contact information
Practice address
1162 PARK AVE E, STATE RT #430, MANSFIELD, OH 44905-2632
(419) 756-9799
(419) 756-7308
Mailing address
25671 FORT MEIGS RD, PERRYSBURG, OH 43551-1191
(419) 872-4775
(419) 872-4776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HME22028
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002498007
ANTHEM BCBS
OH
01
—
2015018
MEDICAID
OH
01
—
8700304
WAIVER-INDIVIDUAL OPTIONS
OH
Enumeration date
03/29/2007
Last updated
08/22/2020
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