Provider Demographics
NPI:1598024358
Name:CHELLENA INC
Entity Type:Organization
Organization Name:CHELLENA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GODOFAI
Authorized Official - Middle Name:TEFERRY
Authorized Official - Last Name:TGIORGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-260-6200
Mailing Address - Street 1:89 EAST LONG ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215
Mailing Address - Country:US
Mailing Address - Phone:614-260-6200
Mailing Address - Fax:
Practice Address - Street 1:89 EAST LONG ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215
Practice Address - Country:US
Practice Address - Phone:614-260-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle