Individual provider · NPI-1

Deritus Achaleke

Case Manager/Care Coordinator · Dublin, OH

NPI number1164032439
StatusActive
Last updated in NPPESAug 3, 2020

Details

NPI
1164032439
Entity type
Individual (NPI-1)
Name
Deritus Achaleke
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2020
Certification date
Aug 3, 2020
Last updated
Aug 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

525 Metro Pl N Ste 100
Dublin, OH 43017-5343

Phone 614-339-1649

Mailing address

525 Metro Pl N Ste 100
Dublin, OH 43017-5343

Phone 614-339-1649

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