Provider Demographics
NPI:1083420483
Name:PANACEA HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:PANACEA HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAPILAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-394-1273
Mailing Address - Street 1:5503 ROCK CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-1685
Mailing Address - Country:US
Mailing Address - Phone:513-394-1273
Mailing Address - Fax:
Practice Address - Street 1:5503 ROCK CREEK LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1685
Practice Address - Country:US
Practice Address - Phone:513-394-1273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health