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NPI Code Detail

MEDICARE: OHIO VITALCARE

MEDICARE: OHIO VITALCARE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1699457416
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO VITALCARE
Provider Business Mailing Address
First Line : 5445 SOUTHWYCK BLVD STE 210
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1534
Country : US
Telephone Number : 419-902-1735
Fax Number :
Provider Business Practice Location Address
First Line : 5445 SOUTHWYCK BLVD STE 210
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1534
Country : US
Telephone Number : 419-902-1735
Fax Number :
Authorized Official
Title or Position : CEO
Name : LAURA NGUYEN
Credential :
Telephone Number : 419-902-1735
Provider Enumeration Date : 08/02/2023
Last Update Date : 02/28/2025

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Directions to “OHIO VITALCARE ” Practice Location

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