Organization
AMANDA DEATON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA GENEVA DEATON LPN (LPN)
(513) 393-3089
Entity
Organization
Contact information
Practice address
3108 SENECA ST, MIDDLETOWN, OH 45044-7754
(513) 393-3089
Mailing address
3108 SENECA ST, MIDDLETOWN, OH 45044-7754
(513) 393-3089
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PN129113MIV
OH
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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