Healthcare Provider Details

I. General information

NPI: 1710581624
Provider Name (Legal Business Name): BED BUG HOME PREPARATION SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 BASSWOOD DR
KENT OH
44240-4286
US

IV. Provider business mailing address

1895 BASSWOOD DR
KENT OH
44240-4286
US

V. Phone/Fax

Practice location:
  • Phone: 330-931-8371
  • Fax: 330-563-4799
Mailing address:
  • Phone: 330-931-8371
  • Fax: 330-563-4799

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: EMILY JONES
Title or Position: OWNER
Credential:
Phone: 330-931-8371