Organization
SECOND HOME ADULT DAYCARE & TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH A ALI (ADMINISTRATOR)
(614) 414-0077
Entity
Organization
Contact information
Practice address
2556 MORSE RD., COLUMBUS, OH 43231
(614) 329-8486
(614) 414-0666
Mailing address
2556 MORSE RD, COLUMBUS, OH 43231
(614) 329-8486
(614) 414-0666
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1563972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2717993
—
OH
Enumeration date
04/07/2009
Last updated
05/01/2013
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