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Organization
GARDNER ASSOCIATES, LLC
Active
Organization
GARDNER ASSOCIATES, LLC
Active
Other names
Nulife Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIQUE MARIA PORTER (CEO/OWNER)
(614) 861-0861
Entity
Organization
Contact information
Practice address
6100 CHANNINGWAY BLVD., SUITE 205, COLUMBUS, OH 43232-2955
(614) 861-0861
(614) 861-8026
Mailing address
6100 CHANNINGWAY BLVD., SUITE 205, COLUMBUS, OH 43232-2955
(614) 861-0861
(614) 861-8026
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649227
—
OH
01
—
2798601
OHIO MEDICAID LEGACY NUMBER
OH
Enumeration date
06/18/2006
Last updated
11/16/2011
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