# IMMACULATE HEART HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154001303
- **Authorized official:** STELLA DURUMBA (CEO)
- **Authorized official phone:** (614) 313-3629

## Contact information

- **Practice address:** 639 COLEBRIDGE DR, BLACKLICK, OH 43004-7109
- **Practice address phone:** (614) 313-3629
- **Mailing address:** 639 COLEBRIDGE DR, BLACKLICK, OH 43004-7109
- **Mailing address phone:** (614) 313-3629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 251J00000X | Nursing Care Agency | — | — | — |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 10/30/2024