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Organization
LIFTED LIVING CARE
Active
Organization
LIFTED LIVING CARE
Active
Parent organization
IVY LEAGUE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVY LEAGUE CARE
Authorized official
TERRIONA NECCO BLYTHE (OWNER)
(937) 463-3110
Entity
Organization
Contact information
Practice address
3531 CORNELL DR, DAYTON, OH 45406-4262
(937) 463-3110
Mailing address
3531 CORNELL DR, DAYTON, OH 45406-4262
(937) 463-3110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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