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Organization

CAREERSOURCE MANAGEMENT

Active
Other names
MEDSOURCE HOME CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY L MAYNARD (PRESIDENT)
(216) 289-9112
Entity
Organization

Contact information

Practice address
27801 EUCLID AVENUE, 100, EUCLID, OH 44132
(216) 289-9112
(216) 289-9114
Mailing address
27801 EUCLID AVENUE, 100, EUCLID, OH 44132
(216) 289-9112
(216) 289-9114

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2461769
OH
05
2736249
OH
05
2893525
OH
Enumeration date
05/03/2007
Last updated
07/15/2010
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