Provider Demographics
NPI:1922208651
Name:SABCO OF OHIO INC
Entity Type:Organization
Organization Name:SABCO OF OHIO INC
Other - Org Name:ALIA HEALTHCARESERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHRHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-847-3617
Mailing Address - Street 1:1925 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3526
Mailing Address - Country:US
Mailing Address - Phone:614-847-3617
Mailing Address - Fax:614-847-3616
Practice Address - Street 1:1925 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3526
Practice Address - Country:US
Practice Address - Phone:614-847-3617
Practice Address - Fax:614-847-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT REQUIRED251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPENDINGMedicaid