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General NPI Number Information
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NPI Number | 1720270531
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Entity Type | Organization
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Legal Business Name | MOHICAN HOME HEALTH
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 2127 TOWNSHIP ROAD 405
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City | JEROMESVILLE
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State | OH
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Zip | 44840-9746
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Country | US
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Telephone | 419-651-3360
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 TOWNSHIP ROAD 405
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City | JEROMESVILLE
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State | OH
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Zip | 44840-9746
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Country | US
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Telephone | 419-651-3360
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. BETH A FINLEY
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Credential |
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Telephone | 419-651-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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