Organization
C MICAH RAND
Active
Other names
Brookwood Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MILLER (CHEIF OPERATING OFFICER)
(513) 605-2700
Entity
Organization
Contact information
Practice address
12100 REED HARTMAN HWY, CINCINNATI, OH 45241-6071
(513) 605-2000
(513) 605-2798
Mailing address
12500 REED HARTMAN HWY, SUITE 200, CINCINNATI, OH 45241-1892
(513) 605-2700
(513) 605-2798
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
3831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0870580
—
OH
01
—
1821070954
NPI
OH
05
—
3089456
—
OH
Enumeration date
11/15/2005
Last updated
07/15/2021
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