Organization
MAIDS OF HEAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNIECE JACKSON-GLENN (OWNER)
(330) 244-7264
Entity
Organization
Contact information
Practice address
2379 SAWBURY BLVD, COLUMBUS, OH 43235-6520
(330) 244-7264
Mailing address
2379 SAWBURY BLVD, COLUMBUS, OH 43235-6520
(330) 244-7264
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
224P00000X
Prosthetist
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/23/2022
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