Organization
GLENDALE PLACE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHASE M. KOHN (ADMINISTRATOR)
(513) 771-1779
Entity
Organization
Contact information
Practice address
779 GLENDALE MILFORD RD, CINCINNATI, OH 45215-1161
(513) 771-1779
(513) 771-4799
Mailing address
779 GLENDALE MILFORD RD, CINCINNATI, OH 45215-1161
(513) 771-1779
(513) 771-4799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2450N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2675645
—
OH
Enumeration date
07/09/2006
Last updated
09/17/2007
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