Impact Care Services LLC
Home Health in Reynoldsburg, OH. Organization (NPI-2).
NPI number1043962889
StatusActive
Last updated in NPPESJan 27, 2022
Details
- NPI
- 1043962889
- Entity type
- Organization (NPI-2)
- Legal business name
- Impact Care Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2022
- Certification date
- Jan 27, 2022
- Last updated
- Jan 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
2020 Brice Rd Ste 185Reynoldsburg, OH 43068-3484
Phone 614-600-5530
Mailing address
2020 Brice Rd Ste 185Reynoldsburg, OH 43068-3484
Phone 614-600-5530
Authorized official
Marc A Fequiere
Administrator
6143708248
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