Organization
BETHANN PERCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHANN PERCY (HHA/STNA)
(330) 614-4354
Entity
Organization
Contact information
Practice address
811 E PATTERSON ST, ALLIANCE, OH 44601-1941
(330) 614-4354
Mailing address
811 E PATTERSON ST, ALLIANCE, OH 44601-1941
(330) 614-4354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
400769330608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099046
—
OH
01
—
CS1423200209
CARESOURCE
OH
Enumeration date
08/22/2014
Last updated
08/22/2014
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