Organization
OTTERBEIN MAINEVILLE, LLC
Active
Other names
Avalon by Otterbein at Maineville
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHRIS GREEN CPA (TREASURER & CFO)
(513) 933-5418
Entity
Organization
Contact information
Practice address
201 MARGE SCHOTT WAY, MAINEVILLE, OH 45039-8863
(513) 583-5161
(513) 583-1427
Mailing address
580 N STATE ROUTE 741, LEBANON, OH 45036-8839
(813) 933-5401
(513) 932-1054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2574N
OH
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
05/18/2010
Last updated
02/09/2015
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