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Organization

WELLNESS RESIDENTIAL SERVICES

Active
Parent organization
WELLNESS RESIDENTIAL SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
WELLNESS RESIDENTIAL SERVICES
Authorized official
MR. IDORENYIN UDO FRED STUDENT (DIRECTOR)
(513) 969-4160
Entity
Organization

Contact information

Practice address
260 NORTHLAND BLVD STE 216, CINCINNATI, OH 45246-3651
(513) 969-4160
(513) 737-0018
Mailing address
260 NORTHLAND BLVD STE 216, CINCINNATI, OH 45246-3651
(513) 969-4160
(513) 737-0018

Taxonomy

Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
OH

Other

Enumeration date
11/27/2013
Last updated
12/23/2019
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