Organization
SENIOR LINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PEENO (RN)
(513) 531-5110
Entity
Organization
Contact information
Practice address
4750 WESLEY AVE, CINCINNATI, OH 45212-2244
(513) 531-5110
Mailing address
4750 WESLEY AVE, CINCINNATI, OH 45212-2244
(513) 531-5110
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
RN 339599
OH
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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