Organization
AT HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J SURGEN (PRESIDENT)
(330) 899-3135
Entity
Organization
Contact information
Practice address
1597 S WATER ST, KENT, OH 44240-4441
(330) 899-3135
(330) 791-1133
Mailing address
1597 S WATER ST, KENT, OH 44240-4441
(330) 899-3135
(330) 791-1133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2260002
OH
Other
Enumeration date
12/23/2014
Last updated
04/14/2021
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