Organization
A PRIVATE PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN WATSON DARDEN REFLEXOLOGIST (OWNER)
(937) 681-0184
Entity
Organization
Contact information
Practice address
8759 MARDI GRAS DR, DAYTON, OH 45424-1039
(937) 681-0184
(937) 236-0892
Mailing address
8759 MARDI GRAS DR, DAYTON, OH 45424-1039
(837) 681-0184
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
MANM993092
OH
251E00000X
Home Health Agency
MANM993092
OH
253Z00000X
In Home Supportive Care Agency
MANM993092
OH
282E00000X
Long Term Care Hospital
MANM993092
OH
385HR2055X
Child Mental Illness Respite Care
MANM993092
OH
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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