Organization
DEANNA TUCKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA TUCKER (INDEPENDENT PROVIDER)
(740) 973-9068
Entity
Organization
Contact information
Practice address
150 W 1ST ST, BUCKEYE LAKE, OH 43008-7713
(740) 973-9068
Mailing address
150 W 1ST ST, BUCKEYE LAKE, OH 43008-7713
(740) 973-9068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0178057
OH
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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