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Organization

DJM3 HOMECARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN NICHOLE MOTLEY (OWNER/NURSE)
(513) 883-7038
Entity
Organization

Contact information

Practice address
1410 SPRINGFIELD PIKE APT 4, CINCINNATI, OH 45215-2130
(513) 883-7038
Mailing address
7504 PERRY ST, CINCINNATI, OH 45231-7500

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151484409
HOME HEALTH NURSE
OH
Enumeration date
07/19/2021
Last updated
07/19/2021
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