Viaquest Healthcare Central
Intermediate Care Facility, Intellectual Disabilities in Madison, OH. Organization (NPI-2).
NPI number1164020616
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1164020616
- Entity type
- Organization (NPI-2)
- Legal business name
- Viaquest Healthcare Central
- Organization subpart
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 13, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
6873 Dave DrMadison, OH 44057-1105
Phone 614-339-0814
Mailing address
525 Metro Pl N Ste 300Dublin, OH 43017-5320
Authorized official
Nancy Housman
Director Of Billing
6143390814
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