Organization
CENTRAL OHIO NURSING AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SOPHIA LOREN BERRY STVICTOR (CEO/ PRESIDENT)
(614) 598-6396
Entity
Organization
Contact information
Practice address
4770 INDIANOLA AVE, SUITE 270, COLUMBUS, OH 43214-1862
(614) 598-6396
(614) 781-0208
Mailing address
4770 INDIANOLA AVE, SUITE 270, COLUMBUS, OH 43214-1862
(614) 598-6396
(614) 781-0208
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
251J00000X
OH
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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