Provider Demographics
NPI:1679845903
Name:LCD NURSE AIDE ACADEMY&HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:LCD NURSE AIDE ACADEMY&HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAMONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-348-8405
Mailing Address - Street 1:5098 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-2518
Mailing Address - Country:US
Mailing Address - Phone:513-348-8405
Mailing Address - Fax:513-672-1001
Practice Address - Street 1:5098 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-2518
Practice Address - Country:US
Practice Address - Phone:513-348-8405
Practice Address - Fax:513-672-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health