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Organization
LIFE CARE HOME HEALTH II
Active
Organization
LIFE CARE HOME HEALTH II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE PISTOLE (OWNER)
(740) 355-2273
Entity
Organization
Contact information
Practice address
729 6TH ST, PORTSMOUTH, OH 45662-4030
(740) 355-2273
Mailing address
PO BOX 1111, PORTSMOUTH, OH 45662-1111
(740) 355-2273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
TO BE ISSUED
OH
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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