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Patricia L Kullman
Home Health Agency in Chippewa Lake, Ohio
NPI 1679262406

Patricia L Kullman is a Home Health Agency based in Chippewa Lake, OH. Patricia L Kullman practices in Chippewa Lake, OH. The NPI Number for Patricia L Kullman is 1679262406 and holds a License No. RQ251483 (Ohio).

The current practice location address for Patricia L Kullman is 162 Brookshore Dr, Chippewa Lake, OH and can be reached out via phone at 419-750-4148.

Location: 162 Brookshore Dr, Chippewa Lake, OH, 44215-9708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679262406
Provider Name
Patricia L Kullman
Credential
Provider Entity Type
Individual
Gender
Female
Address
162 Brookshore Dr, Chippewa Lake, OH, 44215-9708
Phone Number
419-750-4148
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
162 Brookshore Dr
City
Chippewa Lake
State
Ohio
Zip
44215-9708
Phone Number
419-750-4148
Fax Number
person
Provider Business Mailing Address Details
Address
162 Brookshore Dr
City
Chippewa Lake
State
Ohio
Zip
44215-9708
Phone Number
419-750-4148
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
174200000X
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
RQ251483 (Ohio)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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