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Organization

IBBOTT17 LLC

Active
Other names
Nu Vida Residence
Organization subpart
No

Provider details

NPI number
Authorized official
MAYKA BAILEY (ADMINISTRATOR)
(513) 432-3835
Entity
Organization

Contact information

Practice address
302 PURCELL AVE, CINCINNATI, OH 45205-2244
(513) 407-7221
Mailing address
302 PURCELL AVE, CINCINNATI, OH 45205-2244
(513) 407-7221

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/19/2024
Last updated
04/19/2024
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