Organization
VACMI EXTENDED FAMILY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOMLAN INNOCENT SEGOH (PRESIDENT)
(614) 375-3049
Entity
Organization
Contact information
Practice address
4770 INDIANOLA AVE STE 290, COLUMBUS, OH 43214-1862
(614) 375-2057
Mailing address
4770 INDIANOLA AVE STE 290, COLUMBUS, OH 43214-1862
(614) 375-2057
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/28/2018
Last updated
03/08/2019
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