| NPI | 1063230175 |
|---|---|
| Doing Business As | BOUNDLESS HEALTH |
| Entity Type | Organization |
| Authorized Contact | LAURIE B HICKMAN Contracting & Credentialing Manager 614-844-3800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-10-16 |