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Organization
HOME DELIVERY HEALTHCARE, L.L.C.
Active
Organization
HOME DELIVERY HEALTHCARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE MIKOUIS RN, L.N.H.A., RD/LD (CFO)
(330) 420-0325
Entity
Organization
Contact information
Practice address
840 N MARKET ST, LISBON, OH 44432-1022
(330) 420-0325
(330) 420-9821
Mailing address
840 N MARKET ST, P.O. BOX 487, LISBON, OH 44432-1022
(330) 420-0325
(330) 420-9821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137567153
OH DEPT. OF AGING
—
05
—
2964770
—
OH
Enumeration date
10/18/2007
Last updated
03/10/2010
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