Organization
GRACE WIREDU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GRACE WIREDU (RN)
(614) 552-3912
Entity
Organization
Contact information
Practice address
641 KELTONCREST DR, REYNOLDSBURG, OH 43068-9567
(614) 552-3912
Mailing address
641 KELTONCREST DR, REYNOLDSBURG, OH 43068-9567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
311ZA0620X
Adult Care Home Facility
321869
OH
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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