Organization
ANTONIA KOMBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA KOMBA (LPN)
(614) 209-6647
Entity
Organization
Contact information
Practice address
1747 BOB O LINK BND E, COLUMBUS, OH 43229-5683
(614) 209-6647
Mailing address
1747 BOB O LINK BND E, COLUMBUS, OH 43229-5683
(614) 209-6647
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
144731
OH
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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