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Organization
MAGNIFICENT HEALTHCARE SERVICES LLC
Active
Organization
MAGNIFICENT HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VANKAMOH LUSENE SHERIF BSW (CEO)
(614) 377-0005
Entity
Organization
Contact information
Practice address
108 LINDA CT, WESTERVILLE, OH 43081-4928
(614) 377-0005
Mailing address
108 LINDA CT, WESTERVILLE, OH 43081-4928
(614) 377-0005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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