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Find providers by NPI
Organization

C MICAH RAND

Active
Parent organization
BROOKWOOD RETIREMENT COMMUNITY
Other names
Brookwood Assisted Living
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROOKWOOD RETIREMENT COMMUNITY
Authorized official
EDWARD ALLAN ACHESON (CFO)
(513) 605-2702
Entity
Organization

Contact information

Practice address
12100 REED HARTMAN HWY, CINCINNATI, OH 45241-6071
(513) 605-2713
Mailing address
12500 REED HARTMAN HWY STE 200, CINCINNATI, OH 45241-1951
(513) 605-2713

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497327779
NPI
OH
05
3089456
OH
Enumeration date
07/15/2021
Last updated
07/15/2021
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