Healthcare Provider Details
I. General information
NPI: 1013625870
Provider Name (Legal Business Name): WESTLAND FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2022
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 N MURRAY HILL RD
COLUMBUS OH
43228-1590
US
IV. Provider business mailing address
PO BOX 727
DUBLIN OH
43017-0827
US
V. Phone/Fax
- Phone: 614-878-6400
- Fax: 614-918-3421
- Phone: 614-783-2558
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FAOZAN
A.
NARVEL
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 614-878-6400