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Ediye Enoobong
Adult Care Home Facility in Whitehall, Ohio
NPI 1669882601

Ediye Enoobong is an Adult Care Home Facility based in Whitehall, OH and is specialized in Adult Care Home. Ediye Enoobong practices in Whitehall, OH. The NPI Number for Ediye Enoobong is 1669882601 and holds a License No. 156004 (Ohio).

The current practice location address for Ediye Enoobong is 4672 Harbinger Cir W, Whitehall, OH and can be reached out via phone at 614-377-9044 and via fax at 614-453-5712.

Location: 4672 Harbinger Cir W, Whitehall, OH, 43213-6115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669882601
Provider Name
Ediye Enoobong
Credential
Provider Entity Type
Organization
Address
4672 Harbinger Cir W, Whitehall, OH, 43213-6115
Phone Number
614-377-9044
Fax Number
614-453-5712
Provider Enumeration Date
04/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4672 Harbinger Cir W
City
Whitehall
State
Ohio
Zip
43213-6115
Phone Number
614-377-9044
Fax Number
614-453-5712
person
Provider Business Mailing Address Details
Address
4672 Harbinger Cir W
City
Whitehall
State
Ohio
Zip
43213-6115
Phone Number
614-377-9044
Fax Number
614-453-5712
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
156004 (Ohio)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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