Individual
FAYE LAVERN CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
939 BRYDEN RD APT 13, COLUMBUS, OH 43205-1843
(614) 294-2815
Mailing address
939 BRYDEN RD APT 13, COLUMBUS, OH 43205-1843
(614) 284-2815
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2732878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2732878
—
OH
Enumeration date
08/16/2014
Last updated
08/16/2014
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