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NPI Code Detail

MEDICARE: OHIO LIVING HOLDINGS

MEDICARE: OHIO LIVING HOLDINGS
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1411852OTHEROHPASSPORT PROVIDER NUMBER

General Provider Information

NPI Number : 1548461916
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO LIVING HOLDINGS
Provider Business Mailing Address
First Line : 1001 KINGSMILL PKWY
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-1129
Country : US
Telephone Number : 614-888-7800
Fax Number : 614-888-6864
Provider Business Practice Location Address
First Line : 6520 POE AVE
Second Line : SUITE 100
City : DAYTON
State : OH
Zip : 45414-2527
Country : US
Telephone Number : 937-415-5666
Fax Number : 937-415-5690
Authorized Official
Title or Position : CEO
Name : LAURENCE C GUMINA
Credential :
Telephone Number : 614-888-7800
Provider Enumeration Date : 05/31/2007
Last Update Date : 01/27/2019

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Directions to “OHIO LIVING HOLDINGS ” Practice Location

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