Organization
LEXX ALT GALAXY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE NICHOLAS JORDAN (CHIEF EXECUTIVE OFFICER)
(513) 375-8257
Entity
Organization
Contact information
Practice address
1579 MEREDITH DR UNIT 10, CINCINNATI, OH 45231-3243
(513) 375-8257
Mailing address
1579 MEREDITH DR UNIT 10, CINCINNATI, OH 45231-3243
(513) 375-8257
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/30/2023
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