Organization
OTTERBEIN LOVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHRIS GREEN CPA (TREASURER & CHIEF FINANCIAL OFFICER)
(513) 933-5418
Entity
Organization
Contact information
Practice address
6405 SMALL HOUSE CIR, LOVELAND, OH 45140-7524
(513) 933-5401
Mailing address
580 N STATE ROUTE 741, LEBANON, OH 45036-8839
(513) 933-5401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160396
—
OH
Enumeration date
02/07/2016
Last updated
11/07/2016
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