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Organization
LIVING LIFE HOMECARE II LLC
Active
Organization
LIVING LIFE HOMECARE II LLC
Active
Other names
LIVING LIFE HOME CARE II LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER A MENSAHADDISON RN (CEO)
(614) 322-3210
Entity
Organization
Contact information
Practice address
2323 LAKE CLUB DR STE 102, COLUMBUS, OH 43232-3198
(614) 322-9210
(614) 322-9214
Mailing address
2323 LAKE CLUB DR STE 102, COLUMBUS, OH 43232-3198
(614) 322-9210
(614) 322-9214
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194066795
—
OH
Enumeration date
12/01/2022
Last updated
08/31/2023
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