Healthcare Provider Details

I. General information

NPI: 1881958130
Provider Name (Legal Business Name): COMPANIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2012
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4426 COVEFLOWER CT
LEBANON OH
45036-1759
US

IV. Provider business mailing address

4426 COVEFLOWER CT
LEBANON OH
45036-1759
US

V. Phone/Fax

Practice location:
  • Phone: 740-362-1755
  • Fax:
Mailing address:
  • Phone: 740-362-1755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. DION D SPILLMAN
Title or Position: CEO
Credential: OWNER
Phone: 740-362-1755