Provider Demographics
NPI:1366224255
Name:PILLAR OF CLOUD HEALTHCARE, LLC
Entity type:Organization
Organization Name:PILLAR OF CLOUD HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:NAANA
Authorized Official - Middle Name:KONADU
Authorized Official - Last Name:FREMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-215-3474
Mailing Address - Street 1:14018 SUNLADEN DR SW
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7508
Mailing Address - Country:US
Mailing Address - Phone:862-215-3474
Mailing Address - Fax:
Practice Address - Street 1:14018 SUNLADEN DR SW
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-7508
Practice Address - Country:US
Practice Address - Phone:862-215-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services