Organization
ACTIVATE HEALTHCARE-OHIO
Active
Other names
Activate Healthcare-Local 392
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GEIHSLER (PRINCIPAL)
(773) 704-7002
Entity
Organization
Contact information
Practice address
600 RODEO DR, ERLANGER, KY 41018-1279
(859) 342-0901
(859) 342-0919
Mailing address
2157 N DAMEN AVE, CHICAGO, IL 60647-6916
(773) 967-3144
(872) 808-2119
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/29/2020
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