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Organization
PROFOUND HOME HEALTH CARE LLC
Active
Organization
PROFOUND HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD RAYMOND LEAKE R.N. (R.N.)
(614) 560-9237
Entity
Organization
Contact information
Practice address
5289 EISENHOWER ROAD, COLUMBUS, OH 43229
(614) 560-9237
(614) 433-0064
Mailing address
5289 EISENHOWER ROAD, COLUMBUS, OH 43229
(614) 560-9237
(614) 433-0064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
311778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2624066
—
OH
Enumeration date
05/15/2013
Last updated
05/15/2013
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