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Organization
SOLE PROPRIETORSHIP
Active
Organization
SOLE PROPRIETORSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZELE NIKUZE (REGISTERED NURSE)
(937) 746-1682
Entity
Organization
Contact information
Practice address
45 CLEARCREEK FRANKLIN RD APT 11, SPRINGBORO, OH 45066-9348
(937) 746-1682
Mailing address
45 CLEARCREEK FRANKLIN RD APT 11, SPRINGBORO, OH 45066-9348
(937) 746-1682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
354649
OH
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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