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Organization

COLUMBUS MEDICAL SERVICES, LLC

Active
Other names
The Columbus Organization
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN M. O'CONNOR (PRESIDENT)
(610) 592-0292
Entity
Organization

Contact information

Practice address
1004 HICKORY HILL LANE, SUITE 2, HERMITAGE, TN 37076
(615) 902-0950
(615) 902-0951
Mailing address
500 EAST SWEDESFORD ROAD, SUITE 100, WAYNE, PA 19087
(610) 592-0292
(888) 379-2524

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1512668
TN
Enumeration date
06/12/2007
Last updated
01/12/2017
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