Organization
CHILDSPRING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA FOREMAN (COO)
(614) 981-9604
Entity
Organization
Contact information
Practice address
550 TOURMALINE DR, BLACKLICK, OH 43004-8214
(614) 981-9604
Mailing address
550 TOURMALINE DR, BLACKLICK, OH 43004-8214
(614) 981-9604
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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