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1073496162 NPI number — DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC

NPI Number: 1073496162
Health Care Provider/Practitioner: DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC

Information about “1073496162” NPI (DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC) exists in 1073496162 in HTML format HTML  |  1073496162 in plain Text format TXT  |  1073496162 in PDF (Portable Document Format) PDF  |  1073496162 in an XML format XML  formats.

NPI Number : 1073496162 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073496162",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3331 E LIVINGSTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43227-1923",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-805-6175",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3331 E LIVINGSTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43227-1923",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-805-6175",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2025",
    "LastUpdateDate": "08/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HICKS WATSON",
    "AuthorizedOfficialFirstName": "MARY",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "614-805-6175",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "323P00000X",
          "TaxonomyName": "Psychiatric Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3245S0500X",
          "TaxonomyName": "Children's Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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