Individual
FNU EKOBEMELLE SUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4055 LEATHER STOCKING TRL, COLUMBUS, OH 43230-1528
(614) 592-6423
Mailing address
4055 LEATHER STOCKING TRL, COLUMBUS, OH 43230-1528
(614) 592-6423
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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