Healthcare Provider Details

I. General information

NPI: 1437383288
Provider Name (Legal Business Name): ALLI HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3772 VEGA RD
THURMAN OH
45685-9716
US

IV. Provider business mailing address

3772 VEGA RD
THURMAN OH
45685-9716
US

V. Phone/Fax

Practice location:
  • Phone: 740-286-7623
  • Fax:
Mailing address:
  • Phone: 740-286-7623
  • Fax:

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: MISS HOPE C HODGE
Title or Position: SOLE PROPRIETOR
Credential: LPN
Phone: 740-286-7623