Organization
ASSURED HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY H HALL RN, MSHA (ADMINISTRATOR)
(937) 294-2803
Entity
Organization
Contact information
Practice address
1250 W DOROTHY LN, KETTERING, OH 45409-1317
(937) 294-2803
Mailing address
1250 W DOROTHY LN, KETTERING, OH 45409-1317
(937) 294-2803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157100
MEDICAID WAIVER
OH
Enumeration date
04/15/2008
Last updated
07/21/2022
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