Organization
4A HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY BOOTH (DOO)
(419) 966-6384
Entity
Organization
Contact information
Practice address
V538 COUNTY ROAD 4A, LIBERTY CENTER, OH 43532-8512
(419) 966-6384
Mailing address
V538 COUNTY ROAD 4A, LIBERTY CENTER, OH 43532-8512
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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