Organization
HOME CARE WITH A TWIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA KAY SHAFFNER NURSE (NURSE ONWER)
(937) 622-1592
Entity
Organization
Contact information
Practice address
1668 SUMMIT CREEK DR, CENTERVILLE, OH 45458-1136
(937) 622-1592
Mailing address
1668 SUMMIT CREEK DR, CENTERVILLE, OH 45458-1136
(937) 622-1592
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4231613
LLC
OH
Enumeration date
09/18/2018
Last updated
09/18/2018
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