MEDICARE: H.E.A.L (HELPING EVERYONE ACCELERATE IN LIVING

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
1	251C00000X	Developmentally Disabled Services Day Training Agency	2559646	OH

General Provider Information

NPI Number	:	1932448974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H.E.A.L (HELPING EVERYONE ACCELERATE IN LIVING

Provider Business Mailing Address
First Line	:	6657 BUCKRIDGE WAY
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-8315
Country	:	US
Telephone Number	:	614-653-1260
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 S HAMILTON RD
Second Line	:	STE 101
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4389
Country	:	US
Telephone Number	:	614-653-1260
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TOYA LYNN ALEXANDER
Credential	:
Telephone Number	:	614-653-1260

Provider Enumeration Date	:	02/12/2013
Last Update Date	:	02/12/2013

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