Organization
MOMENTUM PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUAN J COX (OWNER)
(513) 968-2000
Entity
Organization
Contact information
Practice address
7460 BROWNS RUN RD, MIDDLETOWN, OH 45042-9483
(513) 960-2000
Mailing address
7460 BROWNS RUN RD, MIDDLETOWN, OH 45042-9483
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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