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NPI Code Detail

MEDICARE: HOME HEALTH CARE BY BLACK STONE

MEDICARE: HOME HEALTH CARE BY BLACK STONE
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1215277165
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME HEALTH CARE BY BLACK STONE
Provider Business Mailing Address
First Line : 3044 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3044 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1922
Country : US
Telephone Number : 614-227-6952
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CHRIS DOGGETT
Credential :
Telephone Number : 614-227-6952
Provider Enumeration Date : 02/28/2013
Last Update Date : 02/28/2013

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Directions to “HOME HEALTH CARE BY BLACK STONE ” Practice Location

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