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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHALENCIA LAMBERT RHIA (CHIEF FINANCIAL OFFICER)
(614) 592-5554
Entity
Organization

Contact information

Practice address
5672 SHANNON PLACE LN, DUBLIN, OH 43016-4196
(614) 592-5554
Mailing address
5672 SHANNON PLACE LN, DUBLIN, OH 43016-4196
(614) 592-5554

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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