Organization
INDEPENDENT FOR LIFE
Active
Other names
Sharon Mc Cants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON L MC CANTS (AGANT OWNER)
(513) 344-9306
Entity
Organization
Contact information
Practice address
4301 CAPPEL DR, CINCINNATI, OH 45205-2023
(513) 344-9306
(513) 251-3522
Mailing address
4301 CAPPEL DR, CINCINNATI, OH 45205-2023
(513) 344-9306
(513) 251-3522
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2429634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2429634
MEDICAID PIN ODJFS
OH
Enumeration date
04/29/2008
Last updated
04/29/2008
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