Carehalo Ohio LLC
General Practice in Fort Wayne, IN. Organization (NPI-2).
NPI number1962055152
StatusActive
Last updated in NPPESJul 17, 2019
Details
- NPI
- 1962055152
- Entity type
- Organization (NPI-2)
- Legal business name
- Carehalo Ohio LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2019
- Last updated
- Jul 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Other names
- Carehalo (Doing Business As)
Practice location
2510 Dupont Circle Dr.Suite 201
Fort Wayne, IN 46825
Phone 770-364-2184
Mailing address
5200 Dallas Hwy Ste 200-243Powder Springs, GA 30127-6318
Phone 770-364-2184
Other practice locations
5200 Dallas Hwy Ste 200-243
Powder Springs, GA 30127-6318
Powder Springs, GA 30127-6318
Phone 770-364-2184
Authorized official
Tamika Goins
President
7703642184
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