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Organization
STAY WELL HOME HEALTH
Active
Organization
STAY WELL HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TILLEY RN (DELEGATE OFFICIAL)
(513) 297-4555
Entity
Organization
Contact information
Practice address
4000 EXECUTIVE PARK DR STE 225, CINCINNATI, OH 45241-4009
(513) 297-4555
(513) 297-4588
Mailing address
4000 EXECUTIVE PARK DR STE 225, CINCINNATI, OH 45241-4009
(513) 297-4555
(513) 297-4588
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
368339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
368339
MEDICARE
OH
Enumeration date
04/07/2011
Last updated
12/15/2021
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