institution
Easton Provider Services
Child Intellectual and/or Developmental Disabilities Respite Care in Columbus, Ohio
NPI 1003242934

Easton Provider Services is a Child Intellectual and/or Developmental Disabilities Respite Care based in Columbus, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Easton Provider Services practices in Columbus, OH. The NPI Number for Easton Provider Services is 1003242934 and holds a License No. 2526609 (Ohio).

The current practice location address for Easton Provider Services is 6100 Channingway Blvd Ste 508, Columbus, OH and can be reached out via phone at 614-352-7092 and via fax at 614-890-1161.

Location: 6100 Channingway Blvd Ste 508, Columbus, OH, 43232-2910
institution
Provider Profile Details
NPI Number
1003242934
Provider Name
Easton Provider Services
Credential
Provider Entity Type
Organization
Address
6100 Channingway Blvd Ste 508, Columbus, OH, 43232-2910
Phone Number
614-352-7092
Fax Number
614-890-1161
Provider Enumeration Date
09/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2526609 01 OH DODD CONTRACT NUMBER
2570141 01 OH ODJFS MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
6100 Channingway Blvd Ste 508
City
State
Zip
43232-2910
Phone Number
614-352-7092
Fax Number
614-890-1161
person
Provider Business Mailing Address Details
Address
6100 Channingway Blvd Ste 508
City
State
Zip
43232-2910
Phone Number
614-352-7092
Fax Number
614-890-1161
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
2526609 (Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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