Organization
EXAPTIONAL SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVONTE LISA AVERY LPN (LPN)
(513) 501-0211
Entity
Organization
Contact information
Practice address
7373 BROOK CREST RD, 342, CINCINNATI, OH 45237
(513) 832-3024
(513) 832-3023
Mailing address
7373 BROOK CREST RD, 342, CINCINNATI, OH 45237
(513) 832-3024
(513) 832-3023
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373806
—
OH
Enumeration date
08/13/2020
Last updated
08/13/2020
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