Healthcare Provider Details

I. General information

NPI: 1841668837
Provider Name (Legal Business Name): YVONNE ANDERSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5156 BOTSFORD DR
COLUMBUS OH
43232-4507
US

IV. Provider business mailing address

5156 BOTSFORD DR
COLUMBUS OH
43232-4507
US

V. Phone/Fax

Practice location:
  • Phone: 614-557-9211
  • Fax:
Mailing address:
  • Phone: 614-557-9211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. YVONNE YVETTE ANDERSON
Title or Position: HOME HEALTH AIDE
Credential:
Phone: 614-557-9211