Organization
GREAT LAKES COMMUNITY ACTION PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTHANN HOUSE (PRESIDENT/CEO)
(419) 334-8911
Entity
Organization
Contact information
Practice address
127 S FRONT ST, FREMONT, OH 43420-3021
(419) 334-8911
Mailing address
PO BOX 590, FREMONT, OH 43420-0590
(419) 334-8911
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0912918
—
OH
Enumeration date
02/18/2021
Last updated
01/29/2024
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