| Asur Supported Living Services Llc | |
|
5150 E Main St Lowr Level Columbus OH 43213-2441 | |
| (614) 419-9493 | |
| Not Available |
| Full Name | Asur Supported Living Services Llc |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 5150 E Main St Lowr Level, Columbus, Ohio |
| Authorized Official Name and Position | Tawain Gordon Jr (MANAGING MEMBER) |
| Authorized Official Contact | 6149465504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asur Supported Living Services Llc 5150 E Main St Lowr Level Columbus OH 43213-2441 Ph: (614) 419-9493 | Asur Supported Living Services Llc 5150 E Main St Lowr Level Columbus OH 43213-2441 Ph: (614) 419-9493 |
| NPI Number | 1750250494 |
|---|---|
| Provider Enumeration Date | 10/31/2025 |
| Last Update Date | 10/31/2025 |
| Certification Date | 10/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750250494 | NPI | - | NPPES |
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