Organization
MERC SUPPORTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BLAZEK (CEO)
(614) 980-4807
Entity
Organization
Contact information
Practice address
2001 E BEAUMONT RD, COLUMBUS, OH 43224-2228
(614) 980-4807
Mailing address
PO BOX 2796, COLUMBUS, OH 43216-2796
(614) 980-4807
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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