Provider Demographics
NPI:1578642997
Name:LABELLE HOMEHEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:LABELLE HOMEHEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:EMANGA
Authorized Official - Last Name:NJUME-TATSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-367-0881
Mailing Address - Street 1:1653 BRICE RD
Mailing Address - Street 2:UPPER LEVEL
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2797
Mailing Address - Country:US
Mailing Address - Phone:614-367-0881
Mailing Address - Fax:614-367-0885
Practice Address - Street 1:1653 BRICE RD
Practice Address - Street 2:UPPER FLOOR
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2797
Practice Address - Country:US
Practice Address - Phone:614-367-0881
Practice Address - Fax:614-367-0885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200619202286251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care