Organization
RICHARD CAMPBELL
Active
Other names
Campbell Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COOPERIDER (ADMINISTRATOR)
(740) 438-6962
Entity
Organization
Contact information
Practice address
3500 COUNTRY CLUB RD SW, LANCASTER, OH 43130-8585
(404) 386-9627
Mailing address
PO BOX 236, LANCASTER, OH 43130-0236
(740) 438-6962
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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