# GREATER CINCINNATI CHILD DEVELOPMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTSIDE RESIDENTIAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669859856
- **Legal business name:** WESTSIDE RESIDENTIAL
- **Authorized official:** SHAWNTAY CORISHA OLIVER (CEO/ OWNER)
- **Authorized official phone:** (513) 407-6026

## Contact information

- **Practice address:** 3516 HARRISON AVE, CINCINNATI, OH 45211-5595
- **Practice address phone:** (513) 407-6026
- **Practice address fax:** (513) 407-7101
- **Mailing address:** 3516 HARRISON AVE, CINCINNATI, OH 45211-5595
- **Mailing address phone:** (513) 407-6026
- **Mailing address fax:** (513) 407-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 200780 | OH | Yes |

## Other

- **Enumeration date:** 04/27/2015
- **Last updated:** 04/27/2015