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Organization

SILVER FAMILY CARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANTIA GAINES CNP (NURSE PRACTITIONER)
(513) 432-2899
Entity
Organization

Contact information

Practice address
2336 MACK RD UNIT B, FAIRFIELD, OH 45014-3169
(513) 322-2098
(513) 855-2021
Mailing address
2336 MACK RD, UNIT B, FAIRFIELD, OH 45014
(513) 322-2098
(513) 855-2021

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0151853
OH
Enumeration date
11/07/2019
Last updated
10/09/2023
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