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Individual provider Active NPI Case Management Agency · Lithopolis, OH

NPI 1750121869 · NPPES record last updated May 15, 2026

Key facts

NPI
1750121869
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
Practice address
323 Sandburg Dr
Lithopolis, OH 43136-7524
Phone
(763) 218-8947
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

323 Sandburg Dr
Lithopolis, OH 43136-7524

Mailing address

323 Sandburg Dr
Lithopolis, OH 43136-7524
Phone (763) 218-8947

Other providers in Lithopolis, OH

All providers in Lithopolis, OH · Case Management Agency in Ohio

Sources for this page

Verify at the official NPI Registry.