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Organization
NURSING AID
Active
Organization
NURSING AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FIKRE WORKU FETENE NURSE AID (NURSE AID)
(614) 589-4874
Entity
Organization
Contact information
Practice address
410 WATERSWAY LANE, COLUMBUS, OH 43213
(614) 589-4874
Mailing address
410 WATERSWAY LN, COLUMBUS, OH 43213-6644
(614) 589-4874
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
401273120711
OH
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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