Healthcare Provider Details

I. General information

NPI: 1104622810
Provider Name (Legal Business Name): MRS. MORLI S GANDHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 02/22/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9317 BAYTREE DR
POWELL OH
43065-8417
US

IV. Provider business mailing address

9317 BAYTREE DR
POWELL OH
43065-8417
US

V. Phone/Fax

Practice location:
  • Phone: 614-946-0783
  • Fax:
Mailing address:
  • Phone: 614-946-0783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: