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FATHERLY INSTRUCTION FOR REBUILDING MEN LLC NPI 1093572836


NPI Information

NPI: 1093572836
Provider Name: FATHERLY INSTRUCTION FOR REBUILDING MEN LLC
Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
785 BRENTNELL AVE
COLUMBUS, OH
ZIP 43219
Phone: (740) 963-2073
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FATHERLY INSTRUCTION FOR REBUILDING MEN LLC is a respite care and mental retardation and/or developmental disabilities respite care in Columbus, OH. The provider is 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. FATHERLY INSTRUCTION FOR REBUILDING MEN LLC NPI is 1093572836. The provider is registered as an organization entity type.

The provider's business location address is:

785 BRENTNELL AVE
COLUMBUS, OH
ZIP 43219-571
Phone: (740) 963-2073

The provider's authorized official is Marlon Goolsby .
The authorized official title is Ceo and has the following contact phone number (740) 963-2073.

The enumeration date for this NPI number is 2/28/2024 and was last updated on 2/28/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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