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Organization
GREATER CINCINNATI CHILD DEVELOPMENT CENTER
Active
Organization
GREATER CINCINNATI CHILD DEVELOPMENT CENTER
Active
Parent organization
WESTSIDE RESIDENTIAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTSIDE RESIDENTIAL
Authorized official
SHAWNTAY CORISHA OLIVER (CEO/ OWNER)
(513) 407-6026
Entity
Organization
Contact information
Practice address
3516 HARRISON AVE, CINCINNATI, OH 45211-5595
(513) 407-6026
(513) 407-7101
Mailing address
3516 HARRISON AVE, CINCINNATI, OH 45211-5595
(513) 407-6026
(513) 407-7101
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
200780
OH
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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