Organization
PEREGRINE HEALTH SERVICES OF COLUMBUS LLC
Active
Other names
SUMMIT'S TRACE HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DALE PATTON (CFO)
(614) 459-2656
Entity
Organization
Contact information
Practice address
935 N CASSADY AVE, COLUMBUS, OH 43219-2283
(614) 252-4987
Mailing address
1661 OLD HENDERSON RD, COLUMBUS, OH 43220-3644
(614) 459-2656
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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