Organization
LIFECARE ALLIANCE
Active
Other names
Error
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W GEHRING (PRESIDENT/CEO)
(614) 437-2801
Entity
Organization
Contact information
Practice address
1699 W MOUND ST, ADMINISTRATION, COLUMBUS, OH 43223-1809
(614) 278-3130
(614) 278-3143
Mailing address
1699 W MOUND ST, ADMINISTRATION, COLUMBUS, OH 43223-1809
(614) 278-3130
(614) 278-3143
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
OH
133V00000X
Registered Dietitian
—
OH
2085R0202X
Diagnostic Radiology Physician
—
OH
225X00000X
Occupational Therapist
—
OH
251V00000X
Voluntary or Charitable Agency
Primary
—
OH
363LA2200X
Adult Health Nurse Practitioner
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2695169
—
OH
Enumeration date
04/01/2008
Last updated
04/11/2024
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