Organization · NPI-2

Antonia Komba

Assisted Living Facility, Assisted Living, Behavioral Disturbances · Columbus, OH

NPI number1972899235
StatusActive
Last updated in NPPESJun 24, 2011

Details

NPI
1972899235
Entity type
Organization (NPI-2)
Legal business name
Antonia Komba
Organization subpart
No
Enumeration date
Jun 24, 2011
Last updated
Jun 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances144731OHYes

Practice location

1747 Bob O Link Bnd E
Columbus, OH 43229-5683

Phone 614-209-6647

Mailing address

1747 Bob O Link Bnd E
Columbus, OH 43229-5683

Phone 614-209-6647

Authorized official

Antonia Komba
Lpn
6142096647

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assisted Living Facility, Assisted Living, Behavioral Disturbances providers in Columbus, OH