OrganizationActive
Fatherly Instruction for Rebuilding Men LLC
NPI 1093572836 · Child Intellectual and/or Developmental Disabilities Respite Care · Columbus, OH
Provider details
- NPI number
- 1093572836
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Marlon Goolsby, Ceo(740) 963-2073
Specialties & taxonomies
Respite Care Facility
Practice location
785 Brentnell Ave
Columbus, OH 43219-2571
Phone: (740) 963-2073
Approximate (ZIP-level) locationGet directions
Mailing address
785 Brentnell Ave
Columbus, OH 43219-2571
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.