Organization
DISTINGUISHED HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURTNEE SCOTT HAWKINS (PRESIDENT)
(614) 743-1734
Entity
Organization
Contact information
Practice address
1500 BRICE RD, SUITE 103, REYNOLDSBURG, OH 43068-2341
(614) 743-1734
Mailing address
6031 E MAIN ST, SUITE 305, COLUMBUS, OH 43213-3356
(614) 743-1734
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
OH
251E00000X
Home Health Agency
Primary
—
—
347C00000X
Private Vehicle
25800070
OH
Other
Enumeration date
08/03/2006
Last updated
07/31/2013
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