Organization
ABBOTT HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA MALONE R.N. (ADMINISTRATOR)
(740) 534-9908
Entity
Organization
Contact information
Practice address
209 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 534-9908
(740) 534-9918
Mailing address
209 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 534-9908
(740) 534-9918
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
368014
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359304
ANTHEM BC/BS PROVIDER
OH
05
—
2384987
—
OH
Enumeration date
07/29/2005
Last updated
08/22/2020
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