Organization
THE HOME NURSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYARA ROBERTS (OWNER)
(567) 868-1192
Entity
Organization
Contact information
Practice address
1224 CORBIN RD, TOLEDO, OH 43612-2323
(567) 868-1192
Mailing address
1224 CORBIN RD, TOLEDO, OH 43612-2323
(567) 868-1192
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COMPANION
HOME CARE
—
Enumeration date
03/21/2022
Last updated
03/21/2022
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