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General NPI Number Information
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NPI Number | 1902995699
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Entity Type | Organization
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Legal Business Name | CITY MEDICAL NURSING CENTER LLC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 5340 E MAIN ST SUITE # 212
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City | COLUMBUS
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State | OH
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Zip | 43213-2574
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Country | US
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Telephone | 614-759-1191
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Fax | 614-759-1391
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Provider Business Mailing Address
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Address Line | 5340 E MAIN ST SUITE # 212
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City | COLUMBUS
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State | OH
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Zip | 43213-2574
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Country | US
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Telephone | 614-759-1191
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Fax | 614-759-1391
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DOROTHY FELIX
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Credential |
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Telephone | 614-759-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 368065
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License Number State | OH
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