# TRIHEALTH SENIORLINK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255689741
- **Authorized official:** MS. DONNA RAE MYERSON RN (CLINIC MANAGER)
- **Authorized official phone:** (513) 458-8845

## Contact information

- **Practice address:** 4750 WESLEY AVE, CINCINNATI, OH 45212-2244
- **Practice address phone:** (513) 531-5110
- **Practice address fax:** (513) 531-1327
- **Mailing address:** 4750 WESLEY AVE, CINCINNATI, OH 45212-2244
- **Mailing address phone:** (513) 531-5110
- **Mailing address fax:** (513) 531-1327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 160163WA2000X | OH | Yes |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 08/15/2012