MEDICARE: LEAN ON ME SUPPORT 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	:	1972229870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAN ON ME SUPPORT SERVICES LLC

Provider Business Mailing Address
First Line	:	5369 VALLEY LN E
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-3114
Country	:	US
Telephone Number	:	614-218-1386
Fax Number	:

Provider Business Practice Location Address
First Line	:	5369 VALLEY LN E
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-3114
Country	:	US
Telephone Number	:	614-218-1386
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATION/CEO
Name	:	MR. ERNEST FELIX ARKORFUL
Credential	:	DO
Telephone Number	:	614-218-1386

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	10/13/2022

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