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Organization
MOON HOME HEALTHCARE, LLC
Active
Organization
MOON HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED H SUFI (EXECUTIVE DIRECTOR)
(614) 962-2144
Entity
Organization
Contact information
Practice address
48 HAWKES AVE, COLUMBUS, OH 43222-1429
(614) 962-2144
Mailing address
48 HAWKES AVE, COLUMBUS, OH 43222-1429
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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