Provider Demographics
NPI:1184405441
Name:PRAESTO HEALTH, LLC
Entity type:Organization
Organization Name:PRAESTO HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-205-8193
Mailing Address - Street 1:1335 DUBLIN RD STE 210A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1044
Mailing Address - Country:US
Mailing Address - Phone:614-735-0523
Mailing Address - Fax:866-438-7821
Practice Address - Street 1:1335 DUBLIN RD STE 210A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1044
Practice Address - Country:US
Practice Address - Phone:614-735-0523
Practice Address - Fax:866-438-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management