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Organization
HOMESITE HOME HEALTH CARE LLC
Active
Organization
HOMESITE HOME HEALTH CARE LLC
Active
Other names
Country Angels Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY D PENCIL RN (ADMINISTRATOR)
(937) 717-0158
Entity
Organization
Contact information
Practice address
4800 URBANA RD STE 103, SPRINGFIELD, OH 45502-8323
(937) 717-0158
(937) 717-0139
Mailing address
4800 URBANA RD STE 103, SPRINGFIELD, OH 45502-8323
(937) 717-0158
(937) 717-0139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OH03566
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468397
—
OH
Enumeration date
05/04/2007
Last updated
06/28/2024
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