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Organization

ICONQUER COMMUNITY HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYLVIA LYNN TOLES RN (ADMINISTRATOR)
(614) 636-1986
Entity
Organization

Contact information

Practice address
173 SYCAMORE LN, DELAWARE, OH 43015-7567
(614) 636-1986
Mailing address
173 SYCAMORE LN, DELAWARE, OH 43015-7567
(614) 636-1986

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/31/2023
Last updated
05/31/2023
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