Provider Demographics
NPI:1639315278
Name:MANQO HOMEHEALTH CARE, LLC
Entity Type:Organization
Organization Name:MANQO HOMEHEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARGAAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BILEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-378-7307
Mailing Address - Street 1:3280 MORSE RD STE 209
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6175
Mailing Address - Country:US
Mailing Address - Phone:614-378-7307
Mailing Address - Fax:614-478-9415
Practice Address - Street 1:3280 MORSE RD STE 209
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6175
Practice Address - Country:US
Practice Address - Phone:614-378-7307
Practice Address - Fax:614-478-9415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-04
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health