# CAREHALO OHIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CareHalo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962055152
- **Authorized official:** TAMIKA GOINS (PRESIDENT)
- **Authorized official phone:** (770) 364-2184

## Contact information

- **Practice address:** 2510 DUPONT CIRCLE DR., SUITE 201, FORT WAYNE, IN 46825
- **Practice address phone:** (770) 364-2184
- **Mailing address:** 5200 DALLAS HWY STE 200-243, POWDER SPRINGS, GA 30127-6318
- **Mailing address phone:** (770) 364-2184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 07/17/2019