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Organization

PROFOUND CARE,LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD RAYMOND LEAKE BSN,RN,MS (OWNER)
(614) 433-0064
Entity
Organization

Contact information

Practice address
5289 EISENHOWER RD, COLUMBUS, OH 43229-5016
(614) 433-0064
Mailing address
5289 EISENHOWER ROAD, COLUMBUS, OH 43229-5016

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN. 311778
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2624066
CARE STAR IPN
OH
Enumeration date
04/09/2007
Last updated
04/23/2008
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