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Organization
MIKOUIS HOME DELIVERY HEALTHCARE, LLC
Active
Organization
MIKOUIS HOME DELIVERY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE MIKOUIS RN, RD/LD, L.N.H.A. (RN / CEO)
(330) 420-9826
Entity
Organization
Contact information
Practice address
840 N MARKET ST, LISBON, OH 44432-1022
(330) 420-9826
(330) 420-9821
Mailing address
PO BOX 487, 840 N MARKET ST, LISBON, OH 44432-0487
(330) 420-9826
(330) 420-9821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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