Individual
PATRICK GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2261 PINEBROOK RD, COLUMBUS, OH 43220-4327
(614) 459-1741
Mailing address
2261 PINEBROOK RD, COLUMBUS, OH 43220-4327
(614) 459-1741
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422338
—
OH
Enumeration date
12/12/2020
Last updated
12/12/2020
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