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Organization

WASHINGTON INTERGENERATIONAL ADULT DAYCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEAN BERNARD WASHINGTON (PRESIDENT)
(614) 866-0100
Entity
Organization

Contact information

Practice address
4241 EASTLAND SQUARE DR, SUITE A, COLUMBUS, OH 43232-5615
(614) 866-0100
(614) 866-0110
Mailing address
4241 EASTLAND SQUARE DR, SUITE A, COLUMBUS, OH 43232-5615
(614) 866-0100
(614) 866-0110

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2103093
OH
Enumeration date
06/26/2014
Last updated
06/26/2014
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