Organization
EVE RESIDENTIAL SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ZAZAYMA BOAKAI (CEO)
(614) 446-5014
Entity
Organization
Contact information
Practice address
2165 CORNELL ST, COLUMBUS, OH 43219-3518
(614) 446-5014
Mailing address
2165 CORNELL ST, COLUMBUS, OH 43219-3518
(614) 446-5014
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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