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Organization

FUNCTIONAL LIFESTYLE SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE NICHOLAS COTA (OWNER)
(937) 312-4441
Entity
Organization

Contact information

Practice address
608 JUDITH DR, KETTERING, OH 45429-5312
(937) 312-4441
Mailing address
608 JUDITH DR, KETTERING, OH 45429-5312
(937) 312-4441

Taxonomy

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

Other

Enumeration date
03/08/2024
Last updated
04/08/2024
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