Organization
BLUE COCOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY BROWN-COMBS RNC-NIC II, CLC (OWNER)
(513) 288-2214
Entity
Organization
Contact information
Practice address
9393 MONTGOMERY RD, CINCINNATI, OH 45242-7725
(513) 288-2214
Mailing address
9393 MONTGOMERY RD, CINCINNATI, OH 45242-7725
(513) 288-2214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
10/10/2011
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