Organization
ANGIE'S HEART HHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE OTTE RN (ADMINISTRATOR)
(513) 678-0847
Entity
Organization
Contact information
Practice address
3672 SPRINGDALE RD REAR UPPER, CINCINNATI, OH 45251-1407
(513) 678-0847
(513) 741-7856
Mailing address
3672 SPRINGDALE ROAD (REAR UPPER LEVEL), CINCINNATI, OH 45251
(513) 678-0847
(513) 741-7856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-8453
PTAN OR CCN
OH
Enumeration date
03/12/2012
Last updated
03/11/2013
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