- Enrollment id
- O20240808004651
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1124882774
- Multiple npi flag
- N
- Ccn
- 369389
- Associate id
- 2769929629
- Organization name
- DAVBRYN HOME HEALTH SERVICES LLC
- Incorporation date
- 2024-02-12
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5900 ROCHE DR
- Address line 2
- STE 315
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293292