Organization
CENTRAL CITY CONNECTIONS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE JULIET TATE (CEO)
(614) 800-9748
Entity
Organization
Contact information
Practice address
2600 HINGHAM LN, COLUMBUS, OH 43224-3725
(614) 800-9748
Mailing address
2600 HINGHAM LN, COLUMBUS, OH 43224-3725
(614) 800-9748
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
OH
Other
Enumeration date
11/11/2014
Last updated
06/20/2018
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