MEDICARE: SETAMOL HOMECARE AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477319002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SETAMOL HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	141 BRENDEN PARK DR
Second Line	:
City	:	ETNA
State	:	OH
Zip	:	43062-8961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 BRENDEN PARK DR
Second Line	:
City	:	ETNA
State	:	OH
Zip	:	43062-8961
Country	:	US
Telephone Number	:	614-401-9178
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BIKRAM JK
Credential	:
Telephone Number	:	614-401-9178

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	02/21/2024

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