Carriage Court Washington Courthouse, LLC

NPI #1174728059 in Washington Court House, Ohio

Provider Information

NPI Number
1174728059
Entity Type
Organization
Organization Name
Carriage Court Washington Courthouse, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 19, 2007
Last Updated
May 12, 2008

Practice Location

Address
500 N GLENN AVE
State
Ohio
ZIP Code
43160-2713
Phone
(740) 333-3434

Authorized Official

Name
MR. JOHN HOLTZ
Title
CONTROLLER
Phone
(541) 747-3373

Specialties & Taxonomy Codes

Specialty
Point of Service

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