Provider Demographics
NPI:1558850511
Name:MARIAH CARE SERVICES
Entity Type:Organization
Organization Name:MARIAH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDIRAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-832-1027
Mailing Address - Street 1:3350 CLEVELAND AVE # 1934C
Mailing Address - Street 2:3350 CLEVELAND AVE # 1934C
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-3677
Mailing Address - Country:US
Mailing Address - Phone:614-832-1027
Mailing Address - Fax:
Practice Address - Street 1:3350 CLEVELAND AVE # 1934C
Practice Address - Street 2:3350 CLEVELAND AVE # 1934
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224
Practice Address - Country:US
Practice Address - Phone:614-832-1027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-05
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty