Organization
MAPLE KNOLL OUTREACH SERVICES
Active
Parent organization
MAPLE KNOLL COMMUNITIES, INC.
Other names
formerly Sycamore Senior Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAPLE KNOLL COMMUNITIES, INC.
Authorized official
MR. JOSHUA L HOWARD (DIRECTOR)
(513) 686-1004
Entity
Organization
Contact information
Practice address
11275 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4113
(513) 984-1234
(513) 686-1040
Mailing address
11275 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4113
(513) 984-1234
(513) 686-1040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1623
OH
343900000X
Non-emergency Medical Transport (VAN)
1623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0790550
—
OH
Enumeration date
12/18/2014
Last updated
09/12/2016
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