Healthcare Provider Details

I. General information

NPI: 1285482422
Provider Name (Legal Business Name): VOAKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1362 MINNESOTA AVE
COLUMBUS OH
43211-1439
US

IV. Provider business mailing address

1183 CHADBYRNE DR
COLUMBUS OH
43235-1790
US

V. Phone/Fax

Practice location:
  • Phone: 614-974-4182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KOREDE OLA
Title or Position: DIRECTOR
Credential:
Phone: 614-974-4182