WAIVER PROVIDER

ASHLAND, OH
NPI1255515334
Entity TypeOrganization
Authorized ContactCHRISTINA HOPE STANDRIDGE
Lpn
419-606-5213
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: OH  PN.124691-IV)
Enumeration Date2007-12-24
Last Update Date2007-12-24
Business Address
WAIVER PROVIDER
1645 HARDING AVE
ASHLAND, OH 44805-3555
Phone number: 419-606-5213
Mailing Address
WAIVER PROVIDER
1645 HARDING AVE
ASHLAND, OH 44805-3555
Phone number: 419-606-5213