Individual
MARY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 LAURELWOOD DR, COLUMBUS, OH 43229-2812
(614) 895-1172
Mailing address
2155 LAURELWOOD DR, COLUMBUS, OH 43229-2812
(614) 895-1172
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2570178
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2570178
—
OH
Enumeration date
04/26/2017
Last updated
04/26/2017
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