Organization
ERNESTINE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ENESTINE AZENKENG TASONG (RN)
(614) 446-6016
Entity
Organization
Contact information
Practice address
47 JORDANA DR, GAHANNA, OH 43230-4406
(614) 446-6016
Mailing address
47 JORDANA DR, GAHANNA, OH 43230-4406
(614) 446-6016
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
342944
OH
251E00000X
Home Health Agency
Primary
342944
OH
251F00000X
Home Infusion Agency
342944
OH
251G00000X
Community Based Hospice Care Agency
342944
OH
251K00000X
Public Health or Welfare Agency
342944
OH
251S00000X
Community/Behavioral Health Agency
342944
OH
253Z00000X
In Home Supportive Care Agency
342944
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
342944
OH
320800000X
Mental Illness Community Based Residential Treatment Facility
342944
OH
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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