Organization
EXECUTIVE CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNI A. MCCLAIN R.N. (CEO)
(740) 349-8454
Entity
Organization
Contact information
Practice address
51 N 3RD ST, SUITE 610, NEWARK, OH 43055-5592
(740) 349-8454
(740) 349-0533
Mailing address
51 N 3RD ST, SUITE 610, NEWARK, OH 43055-5592
(740) 349-8454
(740) 349-0533
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2496991
—
OH
Enumeration date
07/01/2006
Last updated
07/08/2010
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