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Organization
GIFTED QUALITY CARE
Active
Organization
GIFTED QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIKA MOTON (STNA)
(513) 954-6954
Entity
Organization
Contact information
Practice address
1312 1ST AVE APT B, MIDDLETOWN, OH 45044-4129
(513) 954-6954
Mailing address
1312 1ST AVE APT B, MIDDLETOWN, OH 45044-4129
(513) 954-6954
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4650818
OHIO SECRETARY OF STATE
OH
Enumeration date
04/30/2021
Last updated
04/30/2021
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