36D2277247 CLIA NUMBER - CORSOCARE HOSPICE OF OHIO LLC

Laboratory Demographics

CLIA Number: 36D2277247

Facility Name: CORSOCARE HOSPICE OF OHIO LLC

Facility Address:
8230 PITTSBURGH RD NW SUITE 1440
NORTH CANTON, OH
ZIP 44720
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Facility Phone Number: 866 257-9773

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1427763721

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	36D2277247
LAB Type	Hospice
Facility Name	CORSOCARE HOSPICE OF OHIO LLC
Street	8230 PITTSBURGH RD NW SUITE 1440
City	NORTH CANTON
State	OH
ZIP	44720
Phone	866 257-9773
CertificateType	4
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	Waiver

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