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Organization
GAHANNA HOME HEALTHCARE AGENCY, LLC
Active
Organization
GAHANNA HOME HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILA A. IDRIS CNA (BUSINESS MANAGER)
(732) 877-9776
Entity
Organization
Contact information
Practice address
7451 BUNKER RIDGE CT, BLACKLICK, OH 43004
(732) 766-9112
Mailing address
7451 BUNKER RIDGE CT, BLACKLICK, OH 43004
(732) 766-9112
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
NA0008184328
NJ
347C00000X
Private Vehicle
—
NULL
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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