Brooks Supported Living, INC.
In Home Supportive Care in Gahanna, OH. Organization (NPI-2).
NPI number1972190791
StatusActive
Last updated in NPPESDec 28, 2020
Details
- NPI
- 1972190791
- Entity type
- Organization (NPI-2)
- Legal business name
- Brooks Supported Living, INC.
- Organization subpart
- No
- Enumeration date
- Dec 28, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Dec 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
675 Brook HolwGahanna, OH 43230-6259
Phone 614-861-1514 · Fax 614-861-8198
Mailing address
675 Brook HolwGahanna, OH 43230-6259
Phone 614-861-1514 · Fax 614-861-8198
Authorized official
Tara Kay Perfect
Hr Coordinator
6148611514
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