Organization
RAISINKINGS&QUEENS
Active
Other names
Raisin Kings & Queens, Raisin Kings & Queens
Organization subpart
No
Provider details
NPI number
Authorized official
JANICESSA COLEMAN (CEO)
(614) 956-9064
Entity
Organization
Contact information
Practice address
2871 YANKEE DOODLE DR, REYNOLDSBURG, OH 43068-3939
(614) 956-9064
Mailing address
2871 YANKEE DOODLE DR, REYNOLDSBURG, OH 43068-3939
(614) 956-9064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/24/2025
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