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Organization
VIP HOMECARE AGENCY LLC
Active
Organization
VIP HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAY DOUGLAS (CEO)
(513) 441-8005
Entity
Organization
Contact information
Practice address
1821 SUMMIT RD STE 103, CINCINNATI, OH 45237-2818
(513) 441-8005
Mailing address
5115 VINE ST # 16150, CINCINNATI, OH 45217-7500
(513) 441-8005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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