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Organization
SOUTHEASTERN HOME CARE LLC
Active
Organization
SOUTHEASTERN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HAWKINS (VP FINANCE, CFO)
(513) 576-8478
Entity
Organization
Contact information
Practice address
1225 WOODLAWN AVE STE 113, CAMBRIDGE, OH 43725-3094
(740) 425-5117
(740) 425-5062
Mailing address
6281 TRI RIDGE BLVD STE 300, LOVELAND, OH 45140-8345
(513) 576-0262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3062635
—
OH
Enumeration date
11/10/2009
Last updated
07/20/2022
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