Organization
AMITY NURSING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRINUS SENGKA (OWNER)
(513) 344-2600
Entity
Organization
Contact information
Practice address
4 RANDOLPH CT APT 201, FAIRFIELD, OH 45014-4381
(513) 244-2600
Mailing address
4 RANDOLPH CT APT 201, FAIRFIELD, OH 45014-4381
(513) 244-2600
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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