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NPI Code Detail

MEDICARE: HORIZON DAY HEALTH CENTER

MEDICARE: HORIZON DAY HEALTH CENTER
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
1251S00000XCommunity/Behavioral Health Agency2951024OH

General Provider Information

NPI Number : 1699907873
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZON DAY HEALTH CENTER
Provider Business Mailing Address
First Line : 8128 GRISWOLD DR
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-8169
Country : US
Telephone Number : 614-579-5382
Fax Number :
Provider Business Practice Location Address
First Line : 1289 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2838
Country : US
Telephone Number : 614-579-5382
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DWAYNE ALLEN BODRICK
Credential :
Telephone Number : 614-579-5382
Provider Enumeration Date : 08/20/2009
Last Update Date : 02/01/2011

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Directions to “HORIZON DAY HEALTH CENTER ” Practice Location

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