NPI 1366761124

Grace

Organisation Physical Disabilities Residential Treatment Facility Pickerington, OH

Practice location

Address: 8590 Cranberry Ln, Pickerington, OH 43147-9441
Phone: (614) 554-6671

Authorised official

Name: Grace Titilola Ladipo
Title: Licensed Practical Nurse
Phone: (614) 554-6671

Registered specialties (2)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 137701 (OH)

Other Residential Treatment Facility, Physical Disabilities providers in Ohio →

Nursing Facility/Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 137701 (OH)

Other Nursing Facility/Intermediate Care Facility providers in Ohio →

Registry record

NPI: 1366761124
Entity type: Organization
NPI issued: 19 May 2010
Record last updated: 19 May 2010

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.