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NPI Code Detail

MEDICARE: BIG BROTHERS BIG SISTERS OF EAST CENTRAL OHIO INC

MEDICARE: BIG BROTHERS BIG SISTERS OF EAST CENTRAL OHIO INC
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1811513799
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIG BROTHERS BIG SISTERS OF EAST CENTRAL OHIO INC
Provider Business Mailing Address
First Line : PO BOX 6099
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-6099
Country : US
Telephone Number : 330-339-6916
Fax Number : 330-339-6752
Provider Business Practice Location Address
First Line : 1260 MONROE ST NW STE 100D
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-4160
Country : US
Telephone Number : 330-339-6916
Fax Number : 330-339-6752
Authorized Official
Title or Position : DIRECTOR OF DEVELOPMENT & ADMIN
Name : MRS. OLIVIA SCALLY
Credential :
Telephone Number : 330-339-6916
Provider Enumeration Date : 06/17/2020
Last Update Date : 06/17/2020

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Directions to “BIG BROTHERS BIG SISTERS OF EAST CENTRAL OHIO INC ” Practice Location

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