Organization
PROFOUND HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD RAYMOND LEAKE (RN)
(614) 560-9237
Entity
Organization
Contact information
Practice address
5289 EISENHOWER RD, COLUMBUS, OH 43229-5016
(614) 560-9237
Mailing address
5289 EISENHOWER RD, COLUMBUS, OH 43229-5016
(614) 560-9237
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
311778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2624066
—
OH
Enumeration date
05/02/2013
Last updated
05/02/2013
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