Organization
EXTRAMILE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIET N SSALI RN (ADMINISTRATOR)
(513) 313-0198
Entity
Organization
Contact information
Practice address
6233 LAKE FRONT, MASON, OH 45040-7776
(513) 313-0198
Mailing address
6233 LAKE FRONT, MASON, OH 45040-7776
(513) 313-0198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2298858
OH
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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