Provider Demographics
NPI:1447317433
Name:DARYEL HEALTH CARE CENTER, LLC.
Entity type:Organization
Organization Name:DARYEL HEALTH CARE CENTER, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LIBAN
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-778-7784
Mailing Address - Street 1:1495 MORSE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6434
Mailing Address - Country:US
Mailing Address - Phone:614-261-7870
Mailing Address - Fax:614-261-7873
Practice Address - Street 1:1495 MORSE RD STE 108
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6434
Practice Address - Country:US
Practice Address - Phone:614-261-7870
Practice Address - Fax:614-261-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health