Organization
BOUNDLESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LOUIS HANDSCHUMACHER (HCP)
(614) 657-7340
Entity
Organization
Contact information
Practice address
7870 RIDPATH RD, GROVE CITY, OH 43123-9527
(380) 213-0815
Mailing address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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