Organization
1169 BRYDEN PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA ANN MOUTON MONROE LPN, CPD, CDAL, PCHA (EXECUTIVE DIRECTOR)
(614) 927-2700
Entity
Organization
Contact information
Practice address
1169 BRYDEN RD, COLUMBUS, OH 43205-1979
(614) 927-2700
Mailing address
1169 BRYDEN RD, COLUMBUS, OH 43205-1979
(614) 927-2700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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