Organization
CAREGIVERS OF CENTRAL OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARITA A WALLACE (OWNER)
(614) 309-2195
Entity
Organization
Contact information
Practice address
8121 TRAILHAWK DR, BLACKLICK, OH 43004-7187
(614) 309-2195
Mailing address
20 S 3RD ST STE 210, COLUMBUS, OH 43215-4206
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043629124
—
OH
Enumeration date
12/07/2017
Last updated
03/17/2018
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