Organization
EXTENDED LIFE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKA TOLBER (OWNER)
(614) 218-1469
Entity
Organization
Contact information
Practice address
8859 STONEHENGE CIR, PICKERINGTON, OH 43147-9714
(614) 218-1469
(614) 417-1893
Mailing address
8859 STONEHENGE CIR, PICKERINGTON, OH 43147-9714
(614) 218-1469
(614) 417-1893
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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