Organization
QUALITY CARE FOR YOUR FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANEIKA GOODWIN (STNA)
(513) 293-9696
Entity
Organization
Contact information
Practice address
749 CIRCLE AVE, CINCINNATI, OH 45232-1834
(513) 293-9696
Mailing address
749 CIRCLE AVE, CINCINNATI, OH 45232-1834
(513) 293-9696
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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