Healthcare Provider Details

I. General information

NPI: 1538924253
Provider Name (Legal Business Name): PROCHOICE PLUS HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 02/21/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 E WEBER RD STE 102
COLUMBUS OH
43211-1097
US

IV. Provider business mailing address

611 E WEBER RD STE 102
COLUMBUS OH
43211-1097
US

V. Phone/Fax

Practice location:
  • Phone: 161-432-3753
  • Fax:
Mailing address:
  • Phone: 161-432-3753
  • Fax: 614-725-0437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMED MUMIN
Title or Position: CEO
Credential:
Phone: 614-323-7530