Organization
BLIVING LLC
Active
Other names
Bliving LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN B BAGAZA GROUP HOME (CEO)
(515) 380-5393
Entity
Organization
Contact information
Practice address
7105 NEVIS DR, COLUMBUS, OH 43235-5743
(515) 380-5393
Mailing address
242 CARROWMOORE DR, PICKERINGTON, OH 43147-3511
(614) 338-9126
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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