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Organization
HOUSE OF PIECES LLC
Active
Organization
HOUSE OF PIECES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DION ENDRES (OWNER)
(419) 982-2960
Entity
Organization
Contact information
Practice address
109 N MAIN ST STE 209, MANSFIELD, OH 44902-7669
(419) 982-2960
(567) 560-2032
Mailing address
109 N MAIN ST STE 209, MANSFIELD, OH 44902-7669
(419) 982-2960
(567) 560-2032
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000263838
SUPPLIER #
—
05
—
0365527
—
OH
01
—
1701260
CONTRACT PROVIDER # DODD
OH
Enumeration date
12/01/2020
Last updated
12/01/2020
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