Graduated: 2022
NPI: 1477244002
Practice Locations (2)
MID-SOUTH HOME CARE SERVICES LLC
COLUMBUS, OH 43230
6147964446
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
Source: CMS National Downloadable File, September 2026.