Organization
DUAL CC, INC.
Active
Other names
Dual manor
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JAMISON (PRESIDENT)
(513) 751-4900
Entity
Organization
Contact information
Practice address
515 MARTIN LUTHER KING DR E, CINCINNATI, OH 45229-3316
(513) 961-2853
(513) 487-6885
Mailing address
515 MARTIN LUTHER KING DR E, CINCINNATI, OH 45229-3316
(513) 961-2853
(513) 487-6885
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
520009
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2472640
—
OH
01
—
5491620001
DME
OH
Enumeration date
09/26/2005
Last updated
10/26/2009
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