Organization
CHILDREN'S HOME CARE OF DAYTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS BERGMAN CFO (C.F.O.)
(937) 641-3338
Entity
Organization
Contact information
Practice address
18 CHILDRENS PLZ, DAYTON, OH 45404-1816
(937) 641-4663
(937) 641-5339
Mailing address
18 CHILDRENS PLZ, DAYTON, OH 45404-1816
(937) 641-4663
(937) 641-5339
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042677
—
OH
Enumeration date
07/06/2005
Last updated
06/30/2022
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