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Organization

BOWTANA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHRYN ANN BOWMAN MA (DIRECTOR OF OPERATIONS)
(330) 205-9336
Entity
Organization

Contact information

Practice address
4043 BECK AVE, LOUISVILLE, OH 44641-9402
(330) 205-9336
Mailing address
4043 BECK AVE, MAILBOX 2, LOUISVILLE, OH 44641-1936

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
06/03/2025
Last updated
12/13/2025
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