Organization
JUANITA MULLINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA L MULLINS (RN)
(614) 571-5376
Entity
Organization
Contact information
Practice address
632 S EUREKA AVE, COLUMBUS, OH 43204-2911
(614) 571-5376
Mailing address
632 S EUREKA AVE, COLUMBUS, OH 43204-2911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
315532
OH
Other
Enumeration date
11/25/2010
Last updated
11/25/2010
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