| Organization Name: | BURGE SERVICES |
| NPI Number: | 1992125421 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL DION BURGE-JONES (DIRECTOR) |
| Mailing Address: | 995 Thurman Ave Columbus |
| State: | OH US |
| Postal Code: | 432063133 |
| Phone Number: | 6144439198 |
| Fax Number: | 6144432920 |
| NPI Enumeration Date: | 04/23/2014 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 2512249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |