Organization
ASSISTED CARE BY BLACK STONE OF CINCINNATI, LLC
Active
Other names
Home Care by Black Stone
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
8230 MONTGOMERY RD STE 205, CINCINNATI, OH 45236-2292
(513) 924-1370
(513) 924-1372
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115506
—
OH
Enumeration date
12/09/2010
Last updated
02/13/2024
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