# NURSING AID

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

## Provider details

- **NPI number:** 1417345356
- **Authorized official:** MR. FIKRE WORKU FETENE NURSE AID (NURSE AID)
- **Authorized official phone:** (614) 589-4874

## Contact information

- **Practice address:** 410 WATERSWAY LANE, COLUMBUS, OH 43213
- **Practice address phone:** (614) 589-4874
- **Mailing address:** 410 WATERSWAY LN, COLUMBUS, OH 43213-6644
- **Mailing address phone:** (614) 589-4874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 401273120711 | OH | Yes |

## Other

- **Enumeration date:** 12/30/2014
- **Last updated:** 12/30/2014
