Organization
IDEAL ADULT DAYCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA KRUPOVLYANSKAYA (CEO)
(614) 483-2441
Entity
Organization
Contact information
Practice address
4040 E BROAD ST, SUITE 125, COLUMBUS, OH 43213-1156
(614) 483-2441
Mailing address
4040 E BROAD ST, SUITE 125, COLUMBUS, OH 43213-1156
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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