Individual
CHARLES DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4574 GRIMSBY RD, COLUMBUS, OH 43227-1322
(614) 537-5377
Mailing address
4574 GRIMSBY RD, COLUMBUS, OH 43227-1322
(614) 537-5377
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2566530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104776
—
OH
01
—
2566530
MEDICARE DODD
OH
Enumeration date
10/16/2015
Last updated
07/16/2024
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