Organization · NPI-2

1169 Bryden Place LLC

Assisted Living Facility · Columbus, OH

NPI number1669065777
StatusActive
Last updated in NPPESFeb 19, 2021

Details

NPI
1669065777
Entity type
Organization (NPI-2)
Legal business name
1169 Bryden Place LLC
Organization subpart
No
Enumeration date
Feb 19, 2021
Certification date
Feb 19, 2021
Last updated
Feb 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

1169 Bryden Rd
Columbus, OH 43205-1979

Phone 614-927-2700

Mailing address

1169 Bryden Rd
Columbus, OH 43205-1979

Phone 614-927-2700

Authorized official

Julia Ann Mouton Monroe
Executive Director
6149272700

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