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Organization
TRI STATE MEDICARE PROVIDERS
Active
Organization
TRI STATE MEDICARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EALY (MEMBER)
(513) 349-7494
Entity
Organization
Contact information
Practice address
2571 LAFEUILLE AVE, CINCINNATI, OH 45211-8200
(513) 836-1000
(888) 527-4411
Mailing address
2571 LAFEUILLE AVE, CINCINNATI, OH 45211-8200
(513) 836-1000
(888) 527-4411
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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