Organization Name: | PROMEDICA CONTINUING CARE SERVICES CORP |
NPI Number: | 1154316834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE W. HAMMERLING (CMO, PRESIDENT PPCS) |
Mailing Address: | 601 Parkway Dr Fostoria |
State: | OH US |
Postal Code: | 448301592 |
Phone Number: | 4194351832 |
Fax Number: | 4194359511 |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 01/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0164HSP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |