Organization
A CLOSER EYE HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARITY ANN UPSHAW (OWNER)
(567) 289-2008
Entity
Organization
Contact information
Practice address
224 S ELIZABETH ST, LIMA, OH 45801-4804
(567) 289-2008
(567) 712-6441
Mailing address
224 S ELIZABETH ST, LIMA, OH 45801-4804
(567) 289-2008
(567) 712-6441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0377124
ODA
OH
05
—
0377124
—
OH
Enumeration date
10/20/2016
Last updated
11/17/2020
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