Organization
HOME-SISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUNIQUE MONTAQUE WEST (ADMINISTRATOR)
(614) 517-5319
Entity
Organization
Contact information
Practice address
393 E TOWN ST, SUITE 212 B, COLUMBUS, OH 43215-4741
(614) 517-5319
Mailing address
393 E TOWN ST, SUITE 212 B, COLUMBUS, OH 43215-4741
(614) 517-5319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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