NPI 1093995664

Ohio Home Care Program

Organisation Preferred Provider Organization West Portsmouth, OH

Practice location

Address: 613 Jett St, West Portsmouth, OH 45663-6213
Phone: (740) 858-2828

Authorised official

Name: Karen Elaine Wallrt
Title: Lpn
Phone: (740) 858-2828

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence PN 113668 (OH)

Other Preferred Provider Organization providers in Ohio →

Registry record

NPI: 1093995664
Entity type: Organization
NPI issued: 12 Nov 2007
Record last updated: 12 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.