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Organization
NINA'S HEALTH CARE SERVICES
Active
Organization
NINA'S HEALTH CARE SERVICES
Active
Other names
NINA'S HEALTH CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE K FONGOD RN (RN OWNER)
(614) 314-5416
Entity
Organization
Contact information
Practice address
6455 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3589
(614) 861-8840
(614) 861-8842
Mailing address
6455 E. LIVINGSTON AVE, REYNOLDSBURG, OH 43068
(614) 861-8840
(614) 861-8842
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3049507
—
OH
Enumeration date
09/11/2009
Last updated
07/03/2014
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