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Organization

WILLGLO SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JAMES BURGE (ADMINISTRATOR)
(614) 443-3020
Entity
Organization

Contact information

Practice address
995 THURMAN AVE, COLUMBUS, OH 43206-3133
(614) 443-3020
(614) 443-2920
Mailing address
PO BOX 77469, COLUMBUS, OH 43207-7469
(614) 443-3020
(614) 443-2920

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2507433
OH
Enumeration date
08/25/2016
Last updated
08/08/2019
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