Organization
HOME DELIVERED MEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA DAWN FREMONT (BILLING CLERK)
(740) 820-8628
Entity
Organization
Contact information
Practice address
2184 STOCKDALE RD, BEAVER, OH 45613-9448
(740) 820-8628
Mailing address
2184 STOCKDALE RD, BEAVER, OH 45613-9448
(740) 820-8628
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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