# XTREM HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1730941873
- **Authorized official:** SOLANGE VALERIE L FONKEM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (615) 399-8610

## Contact information

- **Practice address:** 12203 TAYLORS WAY, PICKERINGTON, OH 43147-9964
- **Practice address phone:** (651) 399-8610
- **Mailing address:** 12203 TAYLORS WAY, PICKERINGTON, OH 43147-9964

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/24/2024