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NPI Code Detail

MEDICARE: LILY HOME CARE, LLC

MEDICARE: LILY HOME CARE, 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
1253Z00000XIn Home Supportive Care AgencyOH

General Provider Information

NPI Number : 1477707875
Entity Type Code : Organization
Provider Name (Legal Business Name) : LILY HOME CARE, LLC
Provider Business Mailing Address
First Line : 2295 W MARKET ST
Second Line : SUITE L
City : AKRON
State : OH
Zip : 44313-6944
Country : US
Telephone Number : 330-869-0806
Fax Number :
Provider Business Practice Location Address
First Line : 2295 W MARKET ST
Second Line : SUITE L
City : AKRON
State : OH
Zip : 44313-6944
Country : US
Telephone Number : 330-869-0806
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MISS LILIYA FEINSTEIN
Credential :
Telephone Number : 330-869-0806
Provider Enumeration Date : 11/11/2008
Last Update Date : 11/11/2008

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Directions to “LILY HOME CARE, LLC ” Practice Location

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