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Organization

CRAIG BEACH VILLAGE

Active
Parent organization
CRAIG BEACH VILLAGE
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRAIG BEACH VILLAGE
Authorized official
MRS. PATRICIA A HAMMOND (FISCAL OFFICER)
(330) 654-2107
Entity
Organization

Contact information

Practice address
1797 GRANDVIEW RD, LAKE MILTON, OH 44429
(330) 654-2107
(330) 654-4157
Mailing address
PO BOX 99, LAKE MILTON, OH 44429-0099
(330) 654-2107

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
07/25/2024
Last updated
04/17/2025
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