Organization
NATIONWIDE RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH OMAR (OWNER)
(614) 432-3462
Entity
Organization
Contact information
Practice address
1150 MORSE RD STE 110, COLUMBUS, OH 43229-6327
(614) 432-3462
Mailing address
1150 MORSE RD STE 110, COLUMBUS, OH 43229-6327
(614) 432-3462
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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