Organization
21ST CENTURY HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE VELASQUEZ (OWNER)
(614) 356-7859
Entity
Organization
Contact information
Practice address
3912 WADERIDGE TRL, GROVEPORT, OH 43125-9194
(614) 356-7859
Mailing address
3912 WADERIDGE TRL, GROVEPORT, OH 43125-9194
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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