Organization
210 FOWLER ROAD HOME CARE LLC
Active
Other names
The Province of Wexford
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SIMON (MEMBER)
(419) 247-2800
Entity
Organization
Contact information
Practice address
210 FOWLER RD, WARRENDALE, PA 15086-1116
(952) 358-5100
Mailing address
4500 DORR ST, TOLEDO, OH 43615-4040
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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