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NPI Code Detail

MEDICARE: HITTLE HOUSE LLC

MEDICARE: HITTLE HOUSE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility67255OH

General Provider Information

NPI Number : 1720366511
Entity Type Code : Organization
Provider Name (Legal Business Name) : HITTLE HOUSE LLC
Provider Business Mailing Address
First Line : 774 INTERNET DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-2589
Country : US
Telephone Number : 614-443-5454
Fax Number : 614-737-5248
Provider Business Practice Location Address
First Line : 774 INTERNET DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-2589
Country : US
Telephone Number : 614-443-5454
Fax Number : 614-737-5248
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. HEIDI MCAFEE
Credential :
Telephone Number : 614-443-5454
Provider Enumeration Date : 07/27/2011
Last Update Date : 07/27/2011

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Directions to “HITTLE HOUSE LLC ” Practice Location

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