Organization
EXTENDED HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA HOWARD (CEO)
(614) 868-3883
Entity
Organization
Contact information
Practice address
3553 CREEK MEADOWS DR, PICKERINGTON, OH 43147-9393
(614) 868-3883
Mailing address
3553 CREEK MEADOWS DR, PICKERINGTON, OH 43147-9393
(614) 868-3883
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185797
DEPT OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
02/21/2018
Last updated
02/21/2018
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