Organization
CENTRAL OHIO LIFE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEN J FARAH (ADMINISTRATOR)
(614) 735-3165
Entity
Organization
Contact information
Practice address
1150 MORSE RD STE 110, COLUMBUS, OH 43229-6327
(614) 735-3165
(614) 845-5631
Mailing address
1150 MORSE RD STE 110, COLUMBUS, OH 43229-6327
(614) 735-3165
(614) 845-5631
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461544
—
OH
Enumeration date
12/09/2022
Last updated
12/09/2022
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