Individual
TSEBAOT TADESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 ERICKSON RD, COLUMBUS, OH 43227-2058
(614) 556-0078
Mailing address
1244 WESTPHAL AVE, COLUMBUS, OH 43227-2041
(614) 556-9949
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253200000X
—
OH
Enumeration date
08/30/2022
Last updated
08/30/2022
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