Provider Demographics
NPI:1053764464
Name:EMBRACING LIFE
Entity type:Organization
Organization Name:EMBRACING LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOYA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-322-9377
Mailing Address - Street 1:2234 S HAMILTON RD
Mailing Address - Street 2:101
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4389
Mailing Address - Country:US
Mailing Address - Phone:614-322-9377
Mailing Address - Fax:614-322-9377
Practice Address - Street 1:2234 S HAMILTON RD
Practice Address - Street 2:101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4389
Practice Address - Country:US
Practice Address - Phone:614-322-9377
Practice Address - Fax:614-322-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2559646261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities