Organization
IN LIVING SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEDRA LLEWELLYN TAYLOR (PRESIDENT)
(513) 376-8473
Entity
Organization
Contact information
Practice address
230 NORTHLAND BLVD STE 135, CINCINNATI, OH 45246-3691
(513) 376-8473
Mailing address
230 NORTHLAND BLVD STE 135, CINCINNATI, OH 45246-3691
(513) 376-8473
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2755184
—
OH
Enumeration date
03/10/2014
Last updated
03/10/2014
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