Provider Demographics
NPI:1447804877
Name:VRABLE III INC
Entity Type:Organization
Organization Name:VRABLE III INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE A/R MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-545-5508
Mailing Address - Street 1:3248 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-7337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:311 BUCK RIDGE RD
Practice Address - Street 2:
Practice Address - City:BIDWELL
Practice Address - State:OH
Practice Address - Zip Code:45614-9016
Practice Address - Country:US
Practice Address - Phone:740-446-7150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility