# LILLY MAE SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES

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

## Provider details

- **NPI number:** 1679404206
- **Authorized official:** MR. KENNETH ANDRE BRYANT JR. DO (CEO, DOO)
- **Authorized official phone:** (513) 227-6573

## Contact information

- **Practice address:** 260 NORTHLAND BLVD STE 216, CINCINNATI, OH 45246-3651
- **Practice address phone:** (513) 227-6573
- **Mailing address:** 2358 MAGDALENA DR, CINCINNATI, OH 45231-2261
- **Mailing address phone:** (513) 227-6573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2026
- **Last updated:** 05/25/2026