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Organization

ADDISON HOME HEALTH SERVICES LLC

Active
Other names
INA Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISLOM SHAKHBANDAROV (CEO)
(888) 570-1152
Entity
Organization

Contact information

Practice address
1819 TROY ST STE 3, DAYTON, OH 45404
(888) 570-1152
(937) 771-1661
Mailing address
1819 TROY ST STE 3, DAYTON, OH 45404-2400
(888) 570-1152
(937) 771-1661

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OH
251J00000X
Nursing Care Agency
OH
253Z00000X
In Home Supportive Care Agency
OH

Other

Enumeration date
02/05/2016
Last updated
10/11/2019
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