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Organization
SELF EMPLOYED
Active
Organization
SELF EMPLOYED
Active
Other names
self employed
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERCY W KIBE HHA, CNA, CMA (HOME HEALTH AID)
(614) 592-8192
Entity
Organization
Contact information
Practice address
7634 KELVINWAY DR, WORTHINGTON, OH 43085-5304
(614) 592-8192
Mailing address
7634 KELVINWAY DR, WORTHINGTON, OH 43085-5304
(614) 592-8192
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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