MEDICARE: AGAINST ALL O.D.D.S. RESIDENTIAL SERVICES 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	:	1093420259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAINST ALL O.D.D.S. RESIDENTIAL SERVICES LLC

Provider Business Mailing Address
First Line	:	1645 KASSERINE CT
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1148
Country	:	US
Telephone Number	:	216-688-5312
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 LANDERHAVEN DR # A2
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-4190
Country	:	US
Telephone Number	:	216-688-5312
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CARMELLA MENEFEE
Credential	:
Telephone Number	:	216-688-5312

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	01/20/2023

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