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Organization
STAR OF THE EAST HOME HEALTH AGENCY
Active
Organization
STAR OF THE EAST HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIUS M EJIKEME (REGISTERED NURSE)
(832) 683-0625
Entity
Organization
Contact information
Practice address
634 STREAMWATER DR, BLACKLICK, OH 43004
(832) 683-0625
Mailing address
634 STREAMWATER DR, BLACKLICK, OH 43004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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