Organization
CHILDREN'S HOME CARE OF DAYTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS BERGMAN CFO (C.F.O.)
(937) 641-3338
Entity
Organization
Contact information
Practice address
18 CHILDRENS PLZ, DAYTON, OH 45404-1816
(937) 641-4663
(937) 641-5339
Mailing address
18 CHILDRENS PLZ, DAYTON, OH 45404-1816
(937) 641-4663
(937) 641-5339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002747
ANTHEM
OH
05
—
0950967
—
OH
Enumeration date
02/27/2008
Last updated
04/29/2020
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