NPI 1417345356

Nursing Aid

Organisation Adult Care Home Facility Columbus, OH

Practice location

Address: 410 Watersway Lane, Columbus, OH 43213
Phone: (614) 589-4874
Mailing address: 410 Watersway Ln, Columbus, OH 43213-6644

Authorised official

Name: Fikre Worku Fetene
Title: Nurse Aid
Phone: (614) 589-4874

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 401273120711 (OH)

Other Custodial Care Facility providers in Ohio →

Registry record

NPI: 1417345356
Entity type: Organization
NPI issued: 30 Dec 2014
Record last updated: 30 Dec 2014

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.