Modern Ally Company, LLC

NPI #1902390149 in Middletown, Ohio

Provider Information

NPI Number: 1902390149
Entity Type: Organization
Organization Name: Modern Ally Company, LLC
Primary Specialty: Home Health
Enumeration Date: Jun 20, 2018
Last Updated: Jun 20, 2018

Practice Location

Address: 1545 S BREIEL BLVD STE E
City: Middletown
State: Ohio
ZIP Code: 45044-6703
Phone: (937) 321-5583

Authorized Official

Name: MRS. COURTNEY MOORE
Title: CHIEF EXECUTIVE OFFICER
Phone: (937) 321-5583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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