Provider Demographics
NPI:1093420259
Name:AGAINST ALL O.D.D.S. RESIDENTIAL SERVICES LLC
Entity Type:Organization
Organization Name:AGAINST ALL O.D.D.S. RESIDENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARMELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENEFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-688-5312
Mailing Address - Street 1:1645 KASSERINE CT
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1148
Mailing Address - Country:US
Mailing Address - Phone:216-688-5312
Mailing Address - Fax:
Practice Address - Street 1:6001 LANDERHAVEN DR # A2
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4190
Practice Address - Country:US
Practice Address - Phone:216-688-5312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health