Countryside Living & Eldery Home Care

NPI #1790433118 in Englewood, Ohio

Provider Information

NPI Number: 1790433118
Entity Type: Organization
Organization Name: Countryside Living & Eldery Home Care
Primary Specialty: Home Health
Enumeration Date: Mar 15, 2022
Last Updated: Mar 15, 2022

Practice Location

Address: 307 BEECHGROVE DR
City: Englewood
State: Ohio
ZIP Code: 45322-1105
Phone: (937) 432-9870

Authorized Official

Name: TIM KEITH FLEENOR
Title: OWNER
Phone: (937) 875-0490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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