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Contact Information

PETERSONS PROFESSIONAL SERVICES LLC
1126 MARIANNA DR
MANSFIELD, OH44903-9672
 Phone: 567-333-1298
 Fax: 419-589-6641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Modifications

171WH0202X
Indicates primary specialty

NPI Profile & details for PETERSONS PROFESSIONAL SERVICES LLC

NPI Number 1700641164
LBN Legal business name PETERSONS PROFESSIONAL SERVICES LLC
Authorized official MARY PETERSON - (OWNER OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2024
Last updated 02/15/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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