Healthcare Provider Details

I. General information

NPI: 1760828750
Provider Name (Legal Business Name): B-I-I-O, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2013
Last Update Date: 05/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3042 MCKINLEY AVE
COLUMBUS OH
43204-3653
US

IV. Provider business mailing address

3042 MCKINLEY AVE
COLUMBUS OH
43204-3653
US

V. Phone/Fax

Practice location:
  • Phone: 614-487-7805
  • Fax: 614-487-7809
Mailing address:
  • Phone: 614-487-7805
  • Fax: 614-487-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: TINA N VETTER
Title or Position: CO-FOUNDER/CHIEF OPERATING OFFICER
Credential:
Phone: 614-487-7805