Healthcare Provider Details

I. General information

NPI: 1992927206
Provider Name (Legal Business Name): DARLAS HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 BLAINE
GENEVA OH
44041
US

IV. Provider business mailing address

481 BLAINE
GENEVA OH
44041
US

V. Phone/Fax

Practice location:
  • Phone: 440-466-3755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. DARLA JEAN GRISWOLD
Title or Position: HEALTH CARE PROVIDER
Credential:
Phone: 440-466-3755