Organization
CEDAR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOKHTAR ISSA (OWNER)
(614) 300-0394
Entity
Organization
Contact information
Practice address
2555 S DIXIE DR STE 284, KETTERING, OH 45409-1543
(614) 300-0394
Mailing address
2555 S DIXIE DR STE 284, KETTERING, OH 45409-1543
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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