Organization
OPOSSUM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADUSU MANSARAY (DOO/OWNER)
(614) 313-6591
Entity
Organization
Contact information
Practice address
3012 BLAKEHOPE DR, COLUMBUS, OH 43219-7381
(614) 313-6591
(866) 315-9377
Mailing address
3012 BLAKEHOPE DR, COLUMBUS, OH 43219-7381
(614) 313-6591
(866) 315-9377
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
342000000X
Transportation Network Company
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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