Organization
CORNERSTONE SUPPORTED LIVING
Active
Other names
Francis D. Boateng
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANTILLA EDWARDS BOATENG (PROGRAM DIRECTOR)
(614) 235-8750
Entity
Organization
Contact information
Practice address
650 S ASHBURTON RD, COLUMBUS, OH 43213-2703
(614) 235-8750
Mailing address
650 S. ASHBURTON RD., COLUMBUS, OH 43213
(614) 235-8750
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2539006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2760767
—
OH
Enumeration date
04/14/2008
Last updated
04/14/2008
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