Organization
NON-AGENCY RN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABU B. KALOKOH (RN)
(614) 209-6947
Entity
Organization
Contact information
Practice address
4665 E MAIN ST APT 17, COLUMBUS, OH 43213-3134
(614) 209-6947
Mailing address
4665 E MAIN ST APT 17, COLUMBUS, OH 43213-3134
(614) 209-6947
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RN282042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2606817
—
OH
Enumeration date
07/17/2006
Last updated
08/22/2020
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