36D2213388 CLIA NUMBER - FIRSTLIGHT HOME CARE OF THE VALLEY

Laboratory Demographics

CLIA Number: 36D2213388

Facility Name: FIRSTLIGHT HOME CARE OF THE VALLEY

Facility Address:
4390 MAHONING AVENUE
AUSTINTOWN, OH
ZIP 44515
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Facility Phone Number: 772 579-3423

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1194146829

Taxonomy: 374U00000X - Home Health Aide
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

CLIA Record

Field Name	Field Value
CLIA Number	36D2213388
LAB Type	Home Health Agency
Facility Name	FIRSTLIGHT HOME CARE OF THE VALLEY
Street	4390 MAHONING AVENUE
City	AUSTINTOWN
State	OH
ZIP	44515
Phone	772 579-3423
CertificateType	4
CertificateEffectiveDate	2/11/2023
CertificateExpirationDate	2/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024