# LIZZY ONE HOME CARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** lizzy one home care agency llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366134207
- **Authorized official:** MR. MARTIN KONADU-WIREDU PATIENT CARE TECH (PCT)
- **Authorized official phone:** (978) 860-6645

## Contact information

- **Practice address:** 7651 HOWELL PARK DR, PICKERINGTON, OH 43147-9514
- **Practice address phone:** (978) 860-6645
- **Mailing address:** 7651 HOWELL PARK DR, PICKERINGTON, OH 43147-9514
- **Mailing address phone:** (978) 860-6645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | — | NULL | Yes |
| 106S00000X | Behavior Technician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023