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Organization
COLUMBUS MEDICAL SERVICES, LLC
Active
Organization
COLUMBUS MEDICAL SERVICES, LLC
Active
Other names
The Columbus Organization
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN M. O'CONNOR (PRESIDENT)
(610) 592-0292
Entity
Organization
Contact information
Practice address
1004 HICKORY HILL LANE, SUITE 2, HERMITAGE, TN 37076
(615) 902-0950
(615) 902-0951
Mailing address
500 EAST SWEDESFORD ROAD, SUITE 100, WAYNE, PA 19087
(610) 592-0292
(888) 379-2524
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512668
—
TN
Enumeration date
06/12/2007
Last updated
01/12/2017
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