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Organization
PUR-PUS LLC
Active
Organization
PUR-PUS LLC
Active
Other names
Pur- Pus Supported Living, Pur Pus Supported Living
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKA N GORDON (MANAGING MEMBER)
(614) 671-1868
Entity
Organization
Contact information
Practice address
5150 E MAIN ST LOWR LEVEL, WHITEHALL, OH 43213-2441
(614) 946-5504
Mailing address
1337 WESTPHAL AVE, COLUMBUS, OH 43227-2040
(614) 946-5504
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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