Provider Demographics
NPI:1760821185
Name:STATRN COMPREHENSIVE CONSULTING SERVICES
Entity type:Organization
Organization Name:STATRN COMPREHENSIVE CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARR-HOLTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, OCN
Authorized Official - Phone:614-313-8423
Mailing Address - Street 1:12702 BENTWOOD FARMS DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8103
Mailing Address - Country:US
Mailing Address - Phone:614-313-8423
Mailing Address - Fax:
Practice Address - Street 1:12702 BENTWOOD FARMS DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8103
Practice Address - Country:US
Practice Address - Phone:614-313-8423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-275934251J00000X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty