Healthcare Provider Details
I. General information
NPI: 1942468343
Provider Name (Legal Business Name): CELTIC HEALTHCARE OF NE OHIO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2008
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3530 BELMONT AVE STE 7
YOUNGSTOWN OH
44505-1400
US
IV. Provider business mailing address
150 SCHARBERRY LN
MARS PA
16046-2430
US
V. Phone/Fax
- Phone: 724-742-4360
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARNOLD
E
BURCHIANTI
II
Title or Position: CEO
Credential:
Phone: 724-742-4360