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Organization

MERCY HEALTH PARTNERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. DERETHA LOGAN I (STNA)
(513) 389-5418
Entity
Organization

Contact information

Practice address
7148 CLOVERNOOK AVE, CINCINNATI, OH 45231-5567
(531) 240-6310
Mailing address
7148 CLOVERNOOK AVE., CINCINNATI, OH 45231
(513) 240-6310

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OH

Other

Enumeration date
04/16/2012
Last updated
04/16/2012
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