Organization
ALOYS ASONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALOYS ASONG (CEO)
(614) 282-9078
Entity
Organization
Contact information
Practice address
771 KOLLINES CT, BLACKLICK, OH 43004-8424
(614) 282-9078
Mailing address
771 KOLLINES CT, BLACKLICK, OH 43004-8424
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
158802-M-IV
OH
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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