Healthcare Provider Details

I. General information

NPI: 1861670713
Provider Name (Legal Business Name): BENCHMARK THERAPIES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2008
Last Update Date: 02/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 WALDEN TRL SUGARCREEK TWP.
DAYTON OH
45440-3800
US

IV. Provider business mailing address

668 WALDEN TRL SUGARCREEK TWP.
DAYTON OH
45440-3800
US

V. Phone/Fax

Practice location:
  • Phone: 937-409-3177
  • Fax: 937-320-8054
Mailing address:
  • Phone: 937-409-3177
  • Fax: 937-320-8054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MONIKA POGUE
Title or Position: ADMINISTRATOR/OWNER
Credential: RN
Phone: 937-409-3177