Organization
HOMESITE HOME HEALTH CARE LLC
Active
Other names
Country Angels Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY D PENCIL RN (ADMINISTRATOR)
(937) 717-0158
Entity
Organization
Contact information
Practice address
4800 URBANA RD STE 103, SPRINGFIELD, OH 45502-8323
(937) 717-0158
(937) 717-0139
Mailing address
4800 URBANA RD STE 103, SPRINGFIELD, OH 45502-8323
(937) 717-0158
(937) 717-0139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OH03566
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468397
—
OH
Enumeration date
05/04/2007
Last updated
06/28/2024
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