Organization
SAGE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JOSS COPPOLA RN (OWNER)
(606) 375-3324
Entity
Organization
Contact information
Practice address
4131 JUSTIN SCOTT LN, GERMANTOWN, KY 41044-9011
(606) 375-3324
Mailing address
4131 JUSTIN SCOTT LN, GERMANTOWN, KY 41044-9011
(606) 375-3324
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN282108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109574
—
OH
Enumeration date
11/04/2014
Last updated
11/04/2014
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