Organization
INDEPENDENT PROVIDER
Active
Parent organization
INDEPENDENT PROVER
Other names
Emma
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENT PROVER
Authorized official
EMMA HAJA WURIE (STNA)
(614) 783-8961
Entity
Organization
Contact information
Practice address
4175 ARBURY LANE, COLUMBUS, OH 43224
(614) 783-8961
Mailing address
4175 ARBURY LN, COLUMBUS, OH 43224-1704
(614) 783-8961
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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