Healthcare Provider Details

I. General information

NPI: 1396736450
Provider Name (Legal Business Name): MORROW COUNTY HOSPITAL HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 W MARION RD
MOUNT GILEAD OH
43338-1027
US

IV. Provider business mailing address

651 W MARION RD
MOUNT GILEAD OH
43338-1027
US

V. Phone/Fax

Practice location:
  • Phone: 419-946-5015
  • Fax: 419-949-3143
Mailing address:
  • Phone: 419-946-5015
  • Fax: 419-949-3743

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: MR. JOSEPH SCHUELER
Title or Position: CFO
Credential:
Phone: 419-949-3185