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NPI Code Detail

MEDICARE: BLANCHARD VALLEY HOME CARE SERVICES LLC

MEDICARE: BLANCHARD VALLEY HOME CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency0026HSPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134186349
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLANCHARD VALLEY HOME CARE SERVICES LLC
Provider Business Mailing Address
First Line : 15100 BIRCHAVEN LN
Second Line :
City : FINDLAY
State : OH
Zip : 45840-9773
Country : US
Telephone Number : 419-423-5351
Fax Number : 419-423-8967
Provider Business Practice Location Address
First Line : 15100 BIRCHAVEN LN
Second Line :
City : FINDLAY
State : OH
Zip : 45840-9773
Country : US
Telephone Number : 419-423-5351
Fax Number : 419-423-8967
Authorized Official
Title or Position : VP FINANCE
Name : DAVID CYTLAK
Credential :
Telephone Number : 419-423-5497
Provider Enumeration Date : 05/01/2006
Last Update Date : 11/13/2014

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1992991939 — BLANCHARD VALLEY HOME CARE SERVICE LLC
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Directions to “BLANCHARD VALLEY HOME CARE SERVICES LLC ” Practice Location

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