| NPI | 1710719885 |
|---|---|
| Professional Name | COMMUNITY COMPREHENSIVE CARE LLC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 992448314) |
| Additional Taxonomies | 251E00000X Home Health |
| 251E00000X Home Health (Licence: OH 9924483314) | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |