| Organization Name: | SUMMIT ACRES HOME CARE |
| NPI Number: | 1114180387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD J CROCK (ADMINISTRATOR) |
| Mailing Address: | 39 Summit Ct Caldwell |
| State: | OH US |
| Postal Code: | 437249033 |
| Phone Number: | 7407325712 |
| Fax Number: | 7407327350 |
| NPI Enumeration Date: | 07/08/2008 |
| NPI Last Update Date: | 07/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |