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Organization

PER DIEM SPECIALIST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER LYNN OTTE LPN,DON (CEO)
(330) 866-9444
Entity
Organization

Contact information

Practice address
9349 CHESTNUT AVE SE, EAST SPARTA, OH 44626-9577
(330) 866-9444
(330) 694-5143
Mailing address
9349 CHESTNUT AVE SE, EAST SPARTA, OH 44626-9577
(330) 866-9444
(330) 694-5143

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1570534
OH

Other

Enumeration date
05/16/2007
Last updated
12/14/2008
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