Organization
PROMEDICA CONTINUING CARE SERVICES CORP
Active
Other names
Promedica Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
GLADEEN A ROBERTS (PRESIDENT)
(419) 469-3780
Entity
Organization
Contact information
Practice address
2751 BAY PARK DR, SUITE 110, OREGON, OH 43616-4921
(419) 690-7572
(419) 697-2418
Mailing address
1801 RICHARDS RD, TOLEDO, OH 43607-1037
(419) 469-3780
(419) 469-3781
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10133
PARAMOUNT
OH
05
—
2828622
—
OH
05
—
4405016
—
MI
Enumeration date
11/29/2006
Last updated
02/10/2011
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