Organization
GREAT LAKES HEALTHCARE OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH GALLAGHER DPT (OWNER)
(330) 472-0372
Entity
Organization
Contact information
Practice address
2494 MAPLEHURST DR, STOW, OH 44224-2755
(330) 472-0372
Mailing address
9350 S PADRE ISLAND DR APT 113, CORPUS CHRISTI, TX 78418-5514
(330) 472-0372
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
06/09/2015
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