Organization
SM ADULT DAY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHDI I ANSHUR (OWNER)
(614) 260-0471
Entity
Organization
Contact information
Practice address
3556 SULLIVANT AVE STE 303, COLUMBUS, OH 43204-1153
(614) 260-0471
Mailing address
3556 SULLIVANT AVE STE 303, COLUMBUS, OH 43204-1153
(614) 260-0471
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221
ADULT DAY CARE
OH
05
—
1221
—
OH
Enumeration date
02/19/2020
Last updated
02/19/2020
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