Organization
ADVANCED XTRACARE OF OHIO LLC
Active
Other names
Advanced Xtracare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENG AUSTIN SWEET JR. (PRESIDENT)
(513) 290-7177
Entity
Organization
Contact information
Practice address
2009 CLARION AVE, CINCINNATI, OH 45207-1207
(513) 290-7177
Mailing address
2009 CLARION AVE, CINCINNATI, OH 45207-1207
(513) 290-7177
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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