Organization
BY YOUR SIDE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BRADLEY (OWNER/CEO)
(513) 680-3918
Entity
Organization
Contact information
Practice address
1818 GARDEN LN, CINCINNATI, OH 45237-5722
(513) 680-3918
Mailing address
1818 GARDEN LN, CINCINNATI, OH 45237-5722
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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