Yusuf W Abokor

Individual provider Active NPI Developmental Disabilities Clinic/Center · Hilliard, OH

NPI 1114763513 · NPPES record last updated Jul 4, 2024

Key facts

NPI
1114763513
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Disabilities Clinic/Center 261QD1600X
Practice address
2471 Quarry Stone Dr
Hilliard, OH 43026-7893
Phone
(857) 230-8097
NPI assigned
Jul 4, 2024
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Disability Care LLC Developmental Disabilities Current
since Jul 7, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Yes

Addresses

Primary practice location

2471 Quarry Stone Dr
Hilliard, OH 43026-7893

Mailing address

2471 Quarry Stone Dr
Hilliard, OH 43026-7893
Phone (857) 230-8097

Other providers in Hilliard, OH

All providers in Hilliard, OH · Developmental Disabilities Clinic/Center in Ohio

Sources for this page

Verify at the official NPI Registry.