Most Relevant Information
Provider Data
| NPI Number: | 1003544990 |
| Provider Name: | AC ROCQUEMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 253Z00000X |
| Specialty: | In Home Supportive Care |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2022 |
| Last Updated: | 08/10/2022 |
Provider Practice Location
725 S CABLE RD APT 2C
LIMA
OH
458053459
Practice Location Phone/Fax
| Phone: | 4192043288 |
| Fax: |
Provider Mailing Location
725 S CABLE RD APT 2C
LIMA
OH
458053459
Provider Mailing Phone/Fax
| Phone: | 4192043288 |
| Fax: |