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NPI Code Detail

MEDICARE: COMPASSIONATE CARE CONSULTANTS, LLC

MEDICARE: COMPASSIONATE CARE CONSULTANTS, 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1356614952
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE CARE CONSULTANTS, LLC
Provider Business Mailing Address
First Line : PO BOX 49705
Second Line :
City : DAYTON
State : OH
Zip : 45449-0705
Country : US
Telephone Number : 937-751-6348
Fax Number :
Provider Business Practice Location Address
First Line : 6001 SPRINGBORO PIKE
Second Line :
City : DAYTON
State : OH
Zip : 45449-3251
Country : US
Telephone Number : 937-751-6348
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MARY ANN TROXELL
Credential :
Telephone Number : 937-751-6348
Provider Enumeration Date : 02/14/2012
Last Update Date : 03/07/2012

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Directions to “COMPASSIONATE CARE CONSULTANTS, LLC ” Practice Location

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