Most Relevant Information
Provider Data
| NPI Number: | 1003518614 |
| Provider Name: | TREVOR RICHARDS - BAINES |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2023 |
| Last Updated: | 03/20/2023 |
Provider Practice Location
2540 BILLINGSLEY RD
COLUMBUS
OH
432351990
Practice Location Phone/Fax
| Phone: | 6146026476 |
| Fax: | 6149532802 |
Provider Mailing Location
2540 BILLINGSLEY RD
COLUMBUS
OH
432351990
Provider Mailing Phone/Fax
| Phone: | 6146026476 |
| Fax: | 6149532802 |