Organization
MIDWEST COMMUNITY SUPPORT LLC
Active
Other names
Midwest Community Support LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIRA SOUMARE (DOO)
(513) 557-8020
Entity
Organization
Contact information
Practice address
3516 HARRISON AVE, CINCINNATI, OH 45211-5595
(513) 557-8020
Mailing address
6812 TARAWA DR, CINCINNATI, OH 45224-1100
(513) 557-8020
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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