Organization
TALBERT HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANECIA L KING NP (SUPERVISING NURSE PRACTITIONER)
(513) 872-8884
Entity
Organization
Contact information
Practice address
3009 BURNET AVE, CINCINNATI, OH 45219-2419
(513) 872-8884
(513) 281-4131
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1711
(513) 872-8884
(513) 281-4131
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
PN133958M-IV
OH
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
PN.133958M-IV
OH
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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