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Organization

LORRAINE'S SUPPORTIVE LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICKY JORDAN (OWNER)
(513) 903-8270
Entity
Organization

Contact information

Practice address
9888 READING RD, CINCINNATI, OH 45241-3104
(513) 903-8270
Mailing address
1285 BYRD AVE, CINCINNATI, OH 45215-2303
(513) 903-8270

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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