Organization
FRECKLED WITH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WHITEHEAD (OWNER)
(614) 980-6134
Entity
Organization
Contact information
Practice address
6619 GOLDENROD DR, COLUMBUS, OH 43229-1411
(614) 980-6134
Mailing address
6619 GOLDENROD DR, COLUMBUS, OH 43229-1411
(614) 980-6134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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