Organization
BROOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE GOODWIN (LPN)
513923789325
Entity
Organization
Contact information
Practice address
1333 HOLLYWOOD AVE, CINCINNATI, OH 45224-1532
(513) 923-7897
Mailing address
1333 HOLLYWOOD AVE, CINCINNATI, OH 45224-1532
(513) 923-7897
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
133427
OH
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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