# EASTON PROVIDER SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003242934
- **Authorized official:** MS. JOSEPHINE N TALIEH RT (PRESIDENT)
- **Authorized official phone:** (614) 352-7092

## Contact information

- **Practice address:** 6100 CHANNINGWAY BLVD STE 508, COLUMBUS, OH 43232-2910
- **Practice address phone:** (614) 352-7092
- **Practice address fax:** (614) 890-1161
- **Mailing address:** 6100 CHANNINGWAY BLVD STE 508, COLUMBUS, OH 43232-2910
- **Mailing address phone:** (614) 352-7092
- **Mailing address fax:** (614) 890-1161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 2526609 | OH | Yes |

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 09/24/2013