Individual
MR. MOHAMED LAMINE NAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
6908 IDLELEA DR, REYNOLDSBURG, OH 43068-8247
(614) 376-9241
Mailing address
6908 IDLELEA DR, REYNOLDSBURG, OH 43068-8247
(614) 376-9241
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2567968
OH
253Z00000X
In Home Supportive Care Agency
2567968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2567968
CONTRACT NUMBER
OH
Enumeration date
02/20/2023
Last updated
02/21/2023
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