Organization
BE SURE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME A DENMARK PRACTICAL NURSE (DIRECTOR)
(937) 610-2703
Entity
Organization
Contact information
Practice address
2807 ATHENS AVE, DAYTON, OH 45406-4325
(937) 610-2703
Mailing address
2807 ATHENS AVE, DAYTON, OH 45406-4325
(937) 610-2703
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PN088678
OH
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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