Individual
BERTHA LYNN HACKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2579 WINNINGWILLOW DR, COLUMBUS, OH 43207-3470
(614) 625-9189
Mailing address
2579 WINNINGWILLOW DR, COLUMBUS, OH 43207-3470
(614) 625-9189
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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