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Organization

ACTIVE LIFE HEALTH OF CINCINNATI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN J RUSH MD (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
(301) 928-1697
Entity
Organization

Contact information

Practice address
8251 PINE RD STE 205, CINCINNATI, OH 45236-2191
(513) 904-5888
(513) 904-5867
Mailing address
8251 PINE RD STE 205, CINCINNATI, OH 45236-2191
(513) 904-5888
(513) 904-5867

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/22/2020
Last updated
05/22/2020
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