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Organization

CERTIFY AGENCY RESOURCES ENFORCEMENT

Active
Other names
Home Health Care Services and Skilled Nursing
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELINE JULIET TATE (CEO)
(614) 800-9748
Entity
Organization

Contact information

Practice address
2600 HINGHAM LN, COLUMBUS, OH 43224-3725
(614) 732-7415
(614) 478-1889
Mailing address
2600 HINGHAM LN, COLUMBUS, OH 43224-3725
(614) 732-7415
(614) 478-1889

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
253J00000X
Foster Care Agency
Primary
OH
333300000X
Emergency Response System Companies
385H00000X
Respite Care

Other

Enumeration date
07/07/2011
Last updated
12/09/2022
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