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Organization
CERTIFY AGENCY RESOURCES ENFORCEMENT, LLC
Active
Organization
CERTIFY AGENCY RESOURCES ENFORCEMENT, LLC
Active
Other names
Certify Agency Resources Enforcement, LLC, Jacqueline J Tate
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE JULIET TATE JACQUELINE J TATE (CEO)
(614) 800-9748
Entity
Organization
Contact information
Practice address
2600 HINGHAM LANE, COLUMBUS, OH 43224
(614) 800-9748
(614) 934-5732
Mailing address
2600 HINGHAM LN, COLUMBUS, OH 43224-3725
(614) 800-9748
(614) 934-5732
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053979
—
OH
05
—
0055519
—
OH
05
—
2558101
—
OH
Enumeration date
09/16/2021
Last updated
01/23/2023
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