MEDICARE: GARI BRAND LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	226300000X	Kinesiotherapist
3	372500000X	Chore Provider
4	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1215656426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARI BRAND LLC

Provider Business Mailing Address
First Line	:	844 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-1717
Country	:	US
Telephone Number	:	313-681-9647
Fax Number	:

Provider Business Practice Location Address
First Line	:	2716 BERRELL AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1710
Country	:	US
Telephone Number	:	313-681-9647
Fax Number	:

Authorized Official
Title or Position	:	HAIR SPECIALIST
Name	:	MS. ASHLEY SHANAE HARTFIELD
Credential	:
Telephone Number	:	740-400-3999

Provider Enumeration Date	:	08/23/2022
Last Update Date	:	08/23/2022

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Directions to “GARI BRAND LLC ” Practice Location

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