Organization
OHIO-AT-HOME HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI RAHIMI (CHIEF EXECUTIVE OFFICER)
(614) 947-0791
Entity
Organization
Contact information
Practice address
1500 W 3RD AVE, SUITE 109, COLUMBUS, OH 43212-2843
(614) 947-0791
Mailing address
P.O. BOX 12309, COLUMBUS, OH 43212-2843
(614) 947-0791
(614) 947-0792
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
09/19/2016
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