Organization
INDIVIDUALS OF GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA REVIS (OWNER)
(614) 886-8844
Entity
Organization
Contact information
Practice address
1495 MORSE RD, B-9, COLUMBUS, OH 43229-6478
(614) 263-6063
(614) 236-6059
Mailing address
1495 MORSE RD, B-9, COLUMBUS, OH 43229-6478
(614) 263-6063
(614) 236-6059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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