| NPI | 1669160040 |
|---|---|
| Former Legal Business Name | LEEVEXTER NORMAN |
| Entity Type | Organization |
| Authorized Contact | LEEVEXTER MARQUETTA NORMAN Home Care Waiver Provider 614-382-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |