Individual
MR. ABUNGEH LUAH NIBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFR, 8HR DODD CERTIF
Contact information
Practice address
6100 JOYCE LANE, APT #4,, CINCINNATI, OH 45237
(513) 680-9216
Mailing address
6100 JOYCE LANE, APT #4,, CINCINNATI, OH 45237
(513) 680-9216
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074062
—
OH
01
—
3117326
CONTRACT NUMBER
OH
Enumeration date
08/18/2015
Last updated
08/18/2015
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