# ADMIRA HEALTHCARE SERVICES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477980399
- **Authorized official:** CLIVE FOMENKY (CEO)
- **Authorized official phone:** (937) 248-6394

## Contact information

- **Practice address:** 4613 CUTLASS DR, ENGLEWOOD, OH 45322-2515
- **Practice address phone:** (937) 248-6394
- **Mailing address:** 4613 CUTLASS DR, ENGLEWOOD, OH 45322-2515
- **Mailing address phone:** (937) 248-6394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 10/09/2013