Organization
CAP CITY SUPPORTED LIVING & HOMECARE SERVICES
Active
Other names
cap city
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLCIA THOMAS - AGEE (CEO)
(614) 266-1079
Entity
Organization
Contact information
Practice address
5875 CHANTRY DR, COLUMBUS, OH 43232-4764
(614) 626-3720
(614) 626-3728
Mailing address
5875 CHANTRY DR, COLUMBUS, OH 43232-4764
(614) 626-3720
(614) 626-3728
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770961054
—
OH
Enumeration date
05/04/2021
Last updated
05/04/2021
Update your record
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