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Organization

CONSOLIDATED CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY REMINDER (PRESIDENT)
(937) 465-8065
Entity
Organization

Contact information

Practice address
1521 N DETROIT ST, WEST LIBERTY, OH 43357-0817
(937) 465-8065
(937) 465-0442
Mailing address
1521 N DETROIT ST, WEST LIBERTY, OH 43357-0817
(937) 465-8065
(937) 465-0442

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2863870
OH
Enumeration date
05/15/2012
Last updated
05/15/2012
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