Organization
ADVANCED SENIOR SUPPORT MEDICAL SERVICES LLC
Active
Other names
ADVANCE SENIOR SUPPORT HOME HEALTH, Advanced Senior Support Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J. PAUL RN (ADMINISTRATOR)
(614) 891-7480
Entity
Organization
Contact information
Practice address
855 S. SUNBURY RD SUITE 206, WESTERVILLE, OH 43081
(614) 891-7480
(614) 891-7430
Mailing address
855 S. SUNBURY RD SUITE 206, WESTERVILLE, OH 43081
(614) 891-7480
(614) 891-7430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2742492
—
OH
Enumeration date
06/23/2006
Last updated
02/20/2019
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