Organization
OHIO DEPT OF JOB AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN BAKE (LPN)
(614) 599-1466
Entity
Organization
Contact information
Practice address
530 MAPLEWOOD AVE, APT-REAR, COLUMBUS, OH 43213
(614) 599-1466
Mailing address
530 MAPLEWOOD AVE, APT-REAR, COLUMBUS, OH 43213
(614) 599-1466
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PN082384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2493805
—
OH
Enumeration date
06/04/2007
Last updated
08/22/2020
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