Organization
LEOTA M. HUTCHISON
Active
Other names
Country Acres
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH A. HOLMES (BOOKKEEPER)
(330) 345-2041
Entity
Organization
Contact information
Practice address
7615 BANK ST, APPLE CREEK, OH 44606-9668
(330) 698-2031
(330) 698-1153
Mailing address
7615 BANK ST, APPLE CREEK, OH 44606-9668
(330) 698-2031
(330) 698-1153
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
8500241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500241
—
OH
Enumeration date
04/17/2007
Last updated
08/22/2020
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