Organization
HUCKLEBERRY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA LECLERC LISW (ASSOCIATE DIRECTOR)
(614) 294-8097
Entity
Organization
Contact information
Practice address
1421 HAMLET ST, COLUMBUS, OH 43201-2533
(614) 294-8097
(614) 294-6109
Mailing address
1421 HAMLET ST, COLUMBUS, OH 43201-2533
(614) 294-8097
(614) 294-6109
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03164
—
OH
Enumeration date
03/23/2006
Last updated
07/07/2008
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