NPI 1144075466
Mine Living LLC
Practice location
- Address
- 6100 Channingway Blvd STE 406, Columbus, OH 43232-2910
- Phone
- (614) 456-9952
- Mailing address
- 869 E 13th Ave, Columbus, OH 43211-2727
Authorised official
- Name
- Anthony Qualls
- Title
- Owner
- Phone
- (614) 456-9952
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1144075466
- Entity type
- Organization
- NPI issued
- 19 Apr 2024
- Record last updated
- 19 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.