Organization
HOMELAND CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY ENOW NP (NURSE PRACTITIONER)
(614) 715-8216
Entity
Organization
Contact information
Practice address
3505 E LIVINGSTON AVE STE G, COLUMBUS, OH 43227-2252
(614) 715-8216
(614) 715-8239
Mailing address
3505 E LIVINGSTON AVE STE G, COLUMBUS, OH 43227-2252
(614) 715-8216
(614) 715-8239
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
12/24/2024
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