Organization
OHIO JOB AND FAMILY SERVICES
Active
Other names
Independent Provider
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY LYNN BELTZ (HOME HEALTH AIDE)
(740) 504-0669
Entity
Organization
Contact information
Practice address
552 GLENMONTE DR, HOWARD, OH 43028-9379
(740) 504-0669
(740) 397-9492
Mailing address
552 GLENMONTE DR, HOWARD, OH 43028-9379
(740) 504-0669
(740) 397-9492
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2605461
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2605461
—
OH
Enumeration date
11/21/2006
Last updated
08/22/2020
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