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Organization

HOSPICE OF MORROW COUNTY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERRY MIRACLE LSW (EXECUTIVE DIRECTOR)
(419) 946-9822
Entity
Organization

Contact information

Practice address
228 SOUTH ST, MOUNT GILEAD, OH 43338-1450
(419) 946-9822
(419) 946-9971
Mailing address
228 SOUTH ST, MOUNT GILEAD, OH 43338-1450
(419) 946-9822
(419) 946-9971

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0062HSP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232631
ANTHEM BLUECROSS/B.SHIELD
OH
05
0948087
OH
01
V552P-5758
DEPT OF VET AFFAIRS
OH
Enumeration date
01/18/2006
Last updated
08/22/2020
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