Healthcare Provider Details

I. General information

NPI: 1295716710
Provider Name (Legal Business Name): TWIN CITY HOSPITAL HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 REAR GRANT ST
DENNISON OH
44621-1098
US

IV. Provider business mailing address

819 N 1ST ST
DENNISON OH
44621-1098
US

V. Phone/Fax

Practice location:
  • Phone: 740-922-7450
  • Fax: 740-922-6508
Mailing address:
  • Phone: 740-922-7450
  • Fax: 740-922-6508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1284
License Number StateOH

VIII. Authorized Official

Name: MS. JANIE JONES
Title or Position: CEO
Credential:
Phone: 330-343-7605