Organization
EBENEZER ROAD CORPORATION
Active
Other names
Western Hills Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J FRIEDMANN (VICE PRESIDENT)
(513) 941-0099
Entity
Organization
Contact information
Practice address
6210 CLEVES WARSAW PIKE, CINCINNATI, OH 45233-4510
(513) 941-0099
(513) 467-2731
Mailing address
6210 CLEVES WARSAW PIKE, CINCINNATI, OH 45233-4510
(513) 941-0099
(513) 467-2731
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1860
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2127166
—
OH
Enumeration date
09/29/2005
Last updated
10/31/2007
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