Organization
EXECUTIVE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEMRONBEY KHABIBOV (OWNER)
(937) 626-2503
Entity
Organization
Contact information
Practice address
41 BRIGHTON ST, DAYTON, OH 45404-2048
(937) 626-2503
Mailing address
41 BRIGHTON ST, DAYTON, OH 45404-2048
(937) 626-2503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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