Organization
BESPOKE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOSAMU KASONSO (OWNER)
(443) 379-3545
Entity
Organization
Contact information
Practice address
2315 SUMMERWOOD LN., GREENWOOD, IN 46143
(443) 379-3545
Mailing address
2315 SUMMERWOOD LN., GREENWOOD, IN 46143
(443) 379-3545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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