Organization
ALPHA OMEGA III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASANA R COCKRELL (PRESIDENT)
(614) 603-6538
Entity
Organization
Contact information
Practice address
6241 KARL RD, COLUMBUS, OH 43229-2128
(832) 371-1150
Mailing address
6241 KARL RD, COLUMBUS, OH 43229-2128
(832) 371-1150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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