AETNA PROVIDER SERVICE

BLACKLICK, OH
NPI1770972143
Entity TypeOrganization
Authorized ContactMEMUNATU SHERIFF
Independent Provider
614-946-5475
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: OH  2366658)
Enumeration Date2015-01-22
Last Update Date2015-01-22
Business Address
AETNA PROVIDER SERVICE
8514 ARLEN DRIVE
BLACKLICK, OH 43004
Phone number: 614-946-5475
Mailing Address
AETNA PROVIDER SERVICE
8514 ARLEN DR
BLACKLICK, OH 43004-8155
Phone number: 614-946-5475