Organization Name: | VIAQUEST HEALTHCARE CENTRAL |
NPI Number: | 1164693693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARA EPPARD (VP OF OPERATIONS) |
Mailing Address: | 6629 Furth Dr Reynoldsburg |
State: | OH US |
Postal Code: | 430682823 |
Phone Number: | 6145018635 |
Fax Number: | 6145018723 |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 2514107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |