Organization
RISEL GROUP LLC
Active
Other names
Risel Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
DIALLE MOTALE PAULINE RN (GENERAL MANAGER)
(614) 595-8798
Entity
Organization
Contact information
Practice address
1305 COBURG RD, COLUMBUS, OH 43227-2210
(614) 812-9192
Mailing address
5614 SHAGBARK PL, GROVEPORT, OH 43125-9436
(614) 595-8798
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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