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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | 144731 | OH | Yes |
Practice location
1747 Bob O Link Bnd EColumbus, OH 43229-5683
Phone 614-209-6647
Mailing address
1747 Bob O Link Bnd EColumbus, OH 43229-5683
Phone 614-209-6647
Authorized official
Antonia Komba
Lpn
6142096647
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