Organization
BRUCE M RIDENOUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAYESHA WALKER-RIDENOUR (CEO)
(614) 920-0434
Entity
Organization
Contact information
Practice address
5239 ALGEAN DR, CANAL WINCHESTER, OH 43110-8459
(614) 920-0434
(614) 920-0434
Mailing address
5239 ALGEAN DR, CANAL WINCHESTER, OH 43110-8459
(614) 920-0434
(614) 920-0434
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1874527
OH
Other
Enumeration date
08/18/2009
Last updated
10/06/2009
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