Provider Demographics
NPI:1073983383
Name:LAKEWOOD HOME HEALTHCARE,INC
Entity Type:Organization
Organization Name:LAKEWOOD HOME HEALTHCARE,INC
Other - Org Name:LAKEWOOD HOME HEALTHCARE,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ENOCH
Authorized Official - Middle Name:
Authorized Official - Last Name:AHENKORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-554-1188
Mailing Address - Street 1:704 KEYS VIEW CT
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-5818
Mailing Address - Country:US
Mailing Address - Phone:614-554-1188
Mailing Address - Fax:614-899-2611
Practice Address - Street 1:704 KEYS VIEW CT
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-5818
Practice Address - Country:US
Practice Address - Phone:614-554-1188
Practice Address - Fax:614-899-2611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAKEWOOD HOME HEALTHCARE,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health