Organization
GARDEN PARK CC, INC.
Active
Other names
Garden Park Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
KARNE JAMISON (PRESIDENT)
(513) 751-4900
Entity
Organization
Contact information
Practice address
3536 WASHINGTON AVE, CINCINNATI, OH 45229-2618
(513) 751-4900
(513) 569-4387
Mailing address
3536 WASHINGTON AVE, CINCINNATI, OH 45229-2618
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
420024
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2517253
—
OH
01
—
5069810001
DME
OH
Enumeration date
09/26/2005
Last updated
08/22/2020
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