Organization
BOSCHULTE'S PRIDE II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARY L BOSCHULTE (ADMINISTRATOR/DIRECTOR OF NURSING)
(614) 751-6308
Entity
Organization
Contact information
Practice address
2242 S HAMILTON RD STE 201, COLUMBUS, OH 43232-4300
(614) 751-6308
(614) 751-6342
Mailing address
2242 S HAMILTON RD STE 201, COLUMBUS, OH 43232-4300
(614) 751-6308
(614) 751-6342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073847
—
OH
Enumeration date
10/03/2008
Last updated
03/14/2017
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