Organization
GRACELAND HOME HEALTH CARE &SUPPORTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUGIATOU JALLOW (OWNER)
(614) 772-8700
Entity
Organization
Contact information
Practice address
1756 STILTON AVE, COLUMBUS, OH 43228-4574
(614) 772-8700
Mailing address
1756 STILTON AVE, COLUMBUS, OH 43228-4574
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
201204700701
OH
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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