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Organization
EMANCICARE HOME HEALTH LLC
Active
Organization
EMANCICARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W. VANSICKLE III (CHIEF EXECUTIVE OFFICER)
(614) 547-0282
Entity
Organization
Contact information
Practice address
4889 SINCLAIR RD, SUITE 105, COLUMBUS, OH 43229-5432
(614) 547-0282
(614) 547-0284
Mailing address
4889 SINCLAIR RD, SUITE 105, COLUMBUS, OH 43229-5432
(614) 547-0282
(614) 547-0284
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495152
—
OH
01
—
282760064
PASSPORT
OH
Enumeration date
07/20/2010
Last updated
10/30/2013
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