Organization
DOUBLE ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET S BOSSERMAN (EXECUTIVE DIRECTOR)
(419) 724-1370
Entity
Organization
Contact information
Practice address
5800 MONROE ST, BUILDING F-5, SYLVANIA, OH 43560-2263
(419) 724-1370
(419) 724-1372
Mailing address
5800 MONROE ST, BUILDING F-5, SYLVANIA, OH 43560-2263
(419) 724-1370
(419) 724-1372
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
251V0000X
OH
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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