Organization
ADDISON HOME HEALTH SERVICES LLC
Active
Other names
INA Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISLOM SHAKHBANDAROV (CEO)
(888) 570-1152
Entity
Organization
Contact information
Practice address
400 E 5TH ST STE A, DAYTON, OH 45402-2963
(888) 570-1152
(937) 771-1661
Mailing address
400 E 5TH ST STE A, DAYTON, OH 45402-2963
(888) 570-1152
(937) 771-1661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
251J00000X
Nursing Care Agency
—
OH
253Z00000X
In Home Supportive Care Agency
—
OH
Other
Enumeration date
02/09/2011
Last updated
05/09/2021
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