Provider Demographics
NPI:1316969900
Name:FUSSELL & HOLT, INC.
Entity type:Organization
Organization Name:FUSSELL & HOLT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-744-2322
Mailing Address - Street 1:3796 WADERIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9191
Mailing Address - Country:US
Mailing Address - Phone:330-559-9893
Mailing Address - Fax:614-437-6325
Practice Address - Street 1:3796 WADERIDGE TRL
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9191
Practice Address - Country:US
Practice Address - Phone:330-559-9893
Practice Address - Fax:614-437-6325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1595770251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health