Organization
BEECHWOOD HOME
Active
Other names
Beechwood Home for the Incurables
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CLARK (CEO)
(513) 321-9294
Entity
Organization
Contact information
Practice address
2140 POGUE AVE, CINCINNATI, OH 45208-3234
(513) 321-9294
(513) 321-4664
Mailing address
2140 POGUE AVE, CINCINNATI, OH 45208-3234
(513) 321-9294
(513) 321-4664
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
510646896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295145
ANTHEM BC / BS
—
05
—
0035527
—
OH
Enumeration date
05/24/2005
Last updated
01/13/2012
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