Provider / Organization | NPI | Date Certified |
---|---|---|
LAQUANNA J GARRISON | 1417502634 | 2021-01-10 |
Laquanna J Garrison is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417502634. Registration indicates Laquanna J Garrison is a provider of services with a specialization in Agencies, Home Health (Home Health, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Home Health, Agencies) (Nursing Service Related Providers, Home Health Aide) (Home Health Aide, ) (Home Health Aide, Nursing Service Related Providers)
Entity Type | Individual |
Provider Name | Laquanna J Garrison |
Practice Office Address | 2652 NONA RD COLUMBUS, OH US |
Practice Office Telephone | 6147025080 |
Mailing Address | 2652 NONA RD COLUMBUS, OH 432072716 US |
Code | Practice | License No State |
---|---|---|
251E00000X | Agencies Home Health Home Health FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse Home Health Agencies | |
374U00000X PRIMARY | Nursing Service Related Providers Home Health Aide Home Health Aide Home Health Aide Nursing Service Related Providers |
DD00117010 | OTHER | OH | DDPERSONNEL CAT |
0413184 | MEDICAID | OH | |
3653041 | OTHER | OH | NURSE AIDE TRAI |