Organization
IYA-HOME-HEALTH-CARE-SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED KEITA (CEO)
(614) 598-0059
Entity
Organization
Contact information
Practice address
1692 WOODCREST RD, COLUMBUS, OH 43232-2755
(614) 598-0059
Mailing address
1692 WOODCREST RD, COLUMBUS, OH 43232-2755
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130874
—
OH
Enumeration date
07/11/2018
Last updated
07/11/2018
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