Organization
ENEEVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA BARRY (OWNER)
(740) 500-1144
Entity
Organization
Contact information
Practice address
106 N SCIOTO ST, CIRCLEVILLE, OH 43113-1630
(740) 500-1144
(740) 500-1142
Mailing address
106 N SCIOTO ST, CIRCLEVILLE, OH 43113-1630
(740) 500-1144
(740) 500-1142
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231124
—
OH
Enumeration date
02/15/2017
Last updated
06/24/2024
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