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Organization

I AM I CAN SUPPORTIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERI WILSON (DIRECTOR)
(513) 378-7439
Entity
Organization

Contact information

Practice address
260 NORTHLAND BLVD STE 136, SPRINGDALE, OH 45246-3651
(513) 575-8530
Mailing address
465 MARSH DR, FAIRFIELD, OH 45014-9120
(513) 378-7439

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
11/22/2024
Last updated
11/22/2024
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Product
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