Organization
A1 X-CLUSIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEE DANIELLE JENKINS (CEO)
(614) 733-8192
Entity
Organization
Contact information
Practice address
2105 S HAMILTON RD STE 202, COLUMBUS, OH 43232-4145
(614) 733-8192
Mailing address
5546 LABRADOR LN, COLUMBUS, OH 43232-5898
(614) 733-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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