Moicano Healthcare Provider LLC
NPI #1275939811 in Springdale, Ohio
Provider Information
- NPI Number
- 1275939811
- Entity Type
- Organization
- Organization Name
- Moicano Healthcare Provider LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 10, 2014
- Last Updated
- Feb 10, 2016
Practice Location
- Address
- 260 NORTHLAND BLVD STE 320
- City
- Springdale
- State
- Ohio
- ZIP Code
- 45246-4921
- Phone
- (513) 580-3109
Authorized Official
- Name
- DR. CALEB N LOLA I, DODD
- Title
- CEO
- Phone
- 18006176733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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