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1S

11TH ST SURGICAL LLC

Adult Day Care

OIG CLEARNPI VERIFIED
Location
PORTSMOUTH, OH
Licensed since
2023
Rate
Federal identifiers
NPI registry number1215620877
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTILLIE ANDRADE
TitleCREDENTIALING SPECIALIST
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