Organization
PERIS GITAHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PERIS WANGECI GITAHI (DIRECT CARE STAFF)
(614) 556-3325
Entity
Organization
Contact information
Practice address
3380 BRUCETON AVE, 3380 BRUCETON AVENUE, COLUMBUS, OH 43232-4059
(614) 556-3325
Mailing address
3380 BRUCETON AVE, 3380 BRUCETON AVENUE, COLUMBUS, OH 43232-4059
(614) 556-3325
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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