# VACMI EXTENDED FAMILY INC.

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

## Provider details

- **NPI number:** 1689144065
- **Authorized official:** KOMLAN INNOCENT SEGOH (PRESIDENT)
- **Authorized official phone:** (614) 375-3049

## Contact information

- **Practice address:** 4770 INDIANOLA AVE STE 290, COLUMBUS, OH 43214-1862
- **Practice address phone:** (614) 375-2057
- **Mailing address:** 4770 INDIANOLA AVE STE 290, COLUMBUS, OH 43214-1862
- **Mailing address phone:** (614) 375-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/28/2018
- **Last updated:** 03/08/2019