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Organization

EXPERIENCED PROVIDERS IN CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LEEANN MYERS DAVENPORT (CEO)
(740) 815-9095
Entity
Organization

Contact information

Practice address
50 MAIN RD., DELAWARE, OH 43015
(740) 815-9095
Mailing address
50 MAIN RD., DELAWARE, OH 43015
(740) 815-9095

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104094
OH
01
2106401
DODD WAIVER
OH
Enumeration date
08/26/2014
Last updated
08/26/2014
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