| Carehalo Ohio Llc | |
|
2510 Dupont Circle Dr. Suite 201 Fort Wayne IN 46825 | |
| (770) 364-2184 | |
| Not Available |
| Full Name | Carehalo Ohio Llc |
|---|---|
| Speciality | General Practice |
| Location | 2510 Dupont Circle Dr., Fort Wayne, Indiana |
| Authorized Official Name and Position | Tamika Goins (PRESIDENT) |
| Authorized Official Contact | 7703642184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carehalo Ohio Llc 5200 Dallas Hwy Ste 200-243 Powder Springs GA 30127-6318 Ph: (770) 364-2184 | Carehalo Ohio Llc 2510 Dupont Circle Dr. Suite 201 Fort Wayne IN 46825 Ph: (770) 364-2184 |
| NPI Number | 1962055152 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962055152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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