Provider Demographics
NPI:1720270531
Name:MOHICAN HOME HEALTH
Entity Type:Organization
Organization Name:MOHICAN HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-651-3360
Mailing Address - Street 1:2127 TOWNSHIP ROAD 405
Mailing Address - Street 2:
Mailing Address - City:JEROMESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44840-9746
Mailing Address - Country:US
Mailing Address - Phone:419-651-3360
Mailing Address - Fax:
Practice Address - Street 1:2127 TOWNSHIP ROAD 405
Practice Address - Street 2:
Practice Address - City:JEROMESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44840-9746
Practice Address - Country:US
Practice Address - Phone:419-651-3360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health