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Organization
NINE19 RESIDENTIAL CARE LLC
Active
Organization
NINE19 RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE SUTTLES (DOO)
(614) 753-1165
Entity
Organization
Contact information
Practice address
1107 TAYLOR MILLS DR, REYNOLDSBURG, OH 43068-4779
(614) 753-1165
Mailing address
1107 TAYLOR MILLS DR, REYNOLDSBURG, OH 43068-4779
(614) 753-1165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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