# BRUCE M RIDENOUR

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

## Provider details

- **NPI number:** 1700018181
- **Authorized official:** MRS. NAYESHA WALKER-RIDENOUR (CEO)
- **Authorized official phone:** (614) 920-0434

## Contact information

- **Practice address:** 5239 ALGEAN DR, CANAL WINCHESTER, OH 43110-8459
- **Practice address phone:** (614) 920-0434
- **Practice address fax:** (614) 920-0434
- **Mailing address:** 5239 ALGEAN DR, CANAL WINCHESTER, OH 43110-8459
- **Mailing address phone:** (614) 920-0434
- **Mailing address fax:** (614) 920-0434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1874527 | OH | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 10/06/2009