Organization
VIAQUEST HEALTHCARE
Active
Organization
VIAQUEST HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SELBE (VP OF OPERATIONS)
(614) 889-5837
Entity
Organization
Contact information
Practice address
6493 ROSELAWN AVE, REYNOLDSBURG, OH 43068-2813
(614) 501-8614
(614) 501-8717
Mailing address
525 METRO PL N, SUITE 300, DUBLIN, OH 43017-5342
(614) 889-5837
(614) 889-5847
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2514106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600439
—
OH
Enumeration date
11/30/2006
Last updated
03/12/2008
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