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General NPI Number Information
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NPI Number | 1447956677
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Entity Type | Organization
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Legal Business Name | PRIMROSE COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 7018 FINCHLEY DR
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-7045
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Country | US
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Telephone | 614-397-6407
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Fax |
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Provider Business Mailing Address
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Address Line | 7018 FINCHLEY DR
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-7045
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Country | US
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Telephone | 614-397-6407
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CECILIA SIKI OWOLABANI
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Credential | PH.D
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Telephone | 614-397-6407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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