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NPI Code Detail

MEDICARE: S & B HEALTHCARE, INC

MEDICARE: S & B HEALTHCARE, INC
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 AgencyOH01179OH
2251E00000XHome Health AgencyOH03543OH

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 : 1790771624
Entity Type Code : Organization
Provider Name (Legal Business Name) : S & B HEALTHCARE, INC
Provider Business Mailing Address
First Line : 3044 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1922
Country : US
Telephone Number : 937-424-1370
Fax Number : 937-424-1372
Provider Business Practice Location Address
First Line : 3044 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1922
Country : US
Telephone Number : 937-424-1370
Fax Number : 937-424-1372
Authorized Official
Title or Position : CEO
Name : MR. DAVID TRAMONTANA
Credential :
Telephone Number : 937-424-1370
Provider Enumeration Date : 09/26/2005
Last Update Date : 05/19/2010

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