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NPI Code Detail

MEDICARE: MONALISA E BANDA

MEDICARE: MONALISA E BANDA
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1760927677
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONALISA E BANDA
Provider Business Mailing Address
First Line : 2410 HANNAWAY LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-6803
Country : US
Telephone Number : 614-432-5879
Fax Number :
Provider Business Practice Location Address
First Line : 2410 HANNAWAY LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-6803
Country : US
Telephone Number : 614-432-5879
Fax Number :
Authorized Official
Title or Position : LPN
Name : MONALISA EVESS BANDA
Credential :
Telephone Number : 614-432-5979
Provider Enumeration Date : 12/31/2016
Last Update Date : 12/31/2016

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Directions to “MONALISA E BANDA ” Practice Location

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