Organization
MYPRIDEOHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZENAB OWENSBY (OWNER)
(614) 805-0361
Entity
Organization
Contact information
Practice address
8834 LOBELIA CT, REYNOLDSBURG, OH 43068-6715
(614) 805-0361
Mailing address
8834 LOBELIA CT, REYNOLDSBURG, OH 43068-6715
(614) 805-0361
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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