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Organization
SERVUCARE HOME CARE
Active
Organization
SERVUCARE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAWONIA NEELY (CEO)
(513) 580-8218
Entity
Organization
Contact information
Practice address
33 DONALD DR STE 1, FAIRFIELD, OH 45014-3022
(513) 580-8218
Mailing address
4803 JAVELIN DR, ROCKFORD, IL 61108-2301
(779) 537-8837
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424465
—
OH
Enumeration date
09/21/2020
Last updated
06/14/2022
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