| Iconquer Community Health Services Llc | |
|
173 Sycamore Ln Delaware OH 43015-7567 | |
| (614) 636-1986 | |
| Not Available |
| Full Name | Iconquer Community Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 173 Sycamore Ln, Delaware, Ohio |
| Authorized Official Name and Position | Sylvia Lynn Toles (ADMINISTRATOR) |
| Authorized Official Contact | 6146361986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iconquer Community Health Services Llc 173 Sycamore Ln Delaware OH 43015-7567 Ph: (614) 636-1986 | Iconquer Community Health Services Llc 173 Sycamore Ln Delaware OH 43015-7567 Ph: (614) 636-1986 |
| NPI Number | 1962195487 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962195487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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