Organization
PAMELA COLEMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA JEAN COLEMAN (INDEPENDENT PROVIDER)
(614) 449-2491
Entity
Organization
Contact information
Practice address
1179 WILSON AVE, COLUMBUS, OH 43206-3146
(614) 449-2491
Mailing address
1179 WILSON AVE, COLUMBUS, OH 43206-3146
(614) 449-2491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
OH
251S00000X
Community/Behavioral Health Agency
—
OH
251X00000X
Supports Brokerage Agency
—
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
OH
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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