- Enrollment id
- O20120208000994
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1477836732
- Multiple npi flag
- N
- Ccn
- 369005
- Associate id
- 7012174642
- Organization name
- RELAY HOME CARE SERVICE LLC.
- Incorporation date
- 2011-09-13
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3314 MORSE RD
- Address line 2
- STE 216
- City
- COLUMBUS
- State
- OH
- Zip code
- 432316100
- Practice location type
- HHA BRANCH