Organization
OMEGA IN-HOME SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN LEAK (OWNER)
(704) 242-3701
Entity
Organization
Contact information
Practice address
2606 W ROOSEVELT BLVD STE F, MONROE, NC 28110-8325
(980) 313-8517
Mailing address
2606 W ROOSEVELT BLVD STE F, MONROE, NC 28110-8325
(980) 313-8517
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
08/25/2022
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