# ELVIS MBAH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** independent provider
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598138364
- **Authorized official:** MR. ELVIS N MBAH STNA (HOMECARE)
- **Authorized official phone:** (513) 693-3593

## Contact information

- **Practice address:** 3265 ROCKER DR APT 4, CINCINNATI, OH 45239-4154
- **Practice address phone:** (513) 693-3593
- **Mailing address:** 3265 ROCKER DR APT 4, CINCINNATI, OH 45239-4154
- **Mailing address phone:** (513) 693-3593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | OH | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015