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Organization

ANCILLARY SERVICES MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL H KIGHT (PRESIDENT)
(419) 252-5722
Entity
Organization

Contact information

Practice address
333 NORTH SUMMIT STREET, ATTN: APRIL TERRY, TOLEDO, OH 43604-2615
(419) 252-6011
(800) 375-5492
Mailing address
333 NORTH SUMMIT STREET, ATTN: APRIL TERRY, TOLEDO, OH 43604-2615
(419) 252-6011
(800) 375-5492

Taxonomy

Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012206080002
PA
05
0747347-01
TX
05
0804973
OH
05
100032140A
IN
05
168228800
MD
05
2749869
MI
05
3714403
NJ
05
9054925
WA
05
9136576
VA
Enumeration date
07/21/2006
Last updated
08/30/2011
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