Organization
THE LODGE RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWNYA W. SULLIVAN LNHA (ADMINISTRATOR)
(513) 583-3291
Entity
Organization
Contact information
Practice address
12050 MONTGOMERY RD, CINCINNATI, OH 45249-2003
(513) 683-9966
(513) 583-3295
Mailing address
12050 MONTGOMERY RD, CINCINNATI, OH 45249-2003
(513) 683-9966
(513) 583-3295
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6378
OH
Other
Enumeration date
01/29/2007
Last updated
10/13/2009
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