Provider Demographics
NPI:1598934424
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:MR
Authorized Official - First Name:LIBAN
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-825-0733
Mailing Address - Street 1:1415 E DUBLIN GRANVILLE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3311
Mailing Address - Country:US
Mailing Address - Phone:614-825-0733
Mailing Address - Fax:614-825-0734
Practice Address - Street 1:1415 E DUBLIN GRANVILLE RD STE 107
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3311
Practice Address - Country:US
Practice Address - Phone:614-825-0733
Practice Address - Fax:614-825-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health