Organization
HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY J COURTNEY (LPN)
(513) 805-8348
Entity
Organization
Contact information
Practice address
804 FAIRVIEW AVE, HAMILTON, OH 45015-1529
(513) 805-8348
Mailing address
804 FAIRVIEW AVE, HAMILTON, OH 45015-1529
(513) 805-8348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PN. 126354 IV
OH
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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