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NPI Code Detail

MEDICARE: SPERO HEALTH OF OHIO, LLC

MEDICARE: SPERO HEALTH OF OHIO, 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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H958650OTHEROHMEDICARE

General Provider Information

NPI Number : 1811715378
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPERO HEALTH OF OHIO, LLC
Provider Business Mailing Address
First Line : 155 FRANKLIN RD STE 430
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-1602
Country : US
Telephone Number : 615-265-0359
Fax Number :
Provider Business Practice Location Address
First Line : 833 JAMES ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1404
Country : US
Telephone Number : 740-297-4786
Fax Number :
Authorized Official
Title or Position : CFO
Name : RICHARD DULANY ADAMS
Credential :
Telephone Number : 615-265-0371
Provider Enumeration Date : 10/02/2024
Last Update Date : 10/02/2024

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Directions to “SPERO HEALTH OF OHIO, LLC ” Practice Location

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