Organization
VIAQUEST HEALTHCARE CENTRAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA E EPPARD (VP OF OPERATIONS)
(614) 339-0826
Entity
Organization
Contact information
Practice address
5314 REDWOOD RD, COLUMBUS, OH 43229-4441
(614) 436-4769
(614) 436-6307
Mailing address
525 METRO PL N, SUITE 300, DUBLIN, OH 43017-5342
(614) 889-5837
(614) 889-5847
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2514106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2514106
ODMR/DD LICENSE
—
05
—
2600411
—
OH
Enumeration date
03/14/2008
Last updated
03/14/2008
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