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NPI Code Detail

MEDICARE: L.A. HOME HEALTHCARE LLC

MEDICARE: L.A. HOME HEALTHCARE 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
1251E00000XHome Health Agency2114760OH

General Provider Information

NPI Number : 1952665440
Entity Type Code : Organization
Provider Name (Legal Business Name) : L.A. HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1425 E DUBLIN GRANVILLE RD
Second Line : SUITE 203
City : COLUMBUS
State : OH
Zip : 43229-3325
Country : US
Telephone Number : 614-840-9300
Fax Number : 614-840-9301
Provider Business Practice Location Address
First Line : 1425 E DUBLIN GRANVILLE RD
Second Line : SUITE 203
City : COLUMBUS
State : OH
Zip : 43229-3325
Country : US
Telephone Number : 614-840-9300
Fax Number : 614-840-9301
Authorized Official
Title or Position : CEO
Name : MR. ABDIAZIZ DIRIE
Credential :
Telephone Number : 614-840-9300
Provider Enumeration Date : 06/28/2012
Last Update Date : 06/28/2012

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