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Organization

APPROVED HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN GEHRING LPT (ADMINISTRATOR)
(419) 822-3660
Entity
Organization

Contact information

Practice address
1206 E MAIN ST, DELTA, OH 43515-1461
(419) 822-3660
(149) 822-4413
Mailing address
1206 E MAIN ST, DELTA, OH 43515-1461
(419) 822-3660
(149) 822-4413

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018122
OH
Enumeration date
07/09/2006
Last updated
07/21/2022
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