Provider Demographics
NPI:1720372030
Name:RADCLIFF HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:RADCLIFF HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RMA
Authorized Official - Phone:740-592-9800
Mailing Address - Street 1:6478 HUDNELL RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-9275
Mailing Address - Country:US
Mailing Address - Phone:740-592-9800
Mailing Address - Fax:740-592-9801
Practice Address - Street 1:6478 HUDNELL RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-9275
Practice Address - Country:US
Practice Address - Phone:740-592-9800
Practice Address - Fax:740-592-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15079856251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health