Organization
CHAPTER 41
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BARNES (CEO)
(513) 488-2060
Entity
Organization
Contact information
Practice address
2068 BICKEL AVE, CINCINNATI, OH 45214-1110
(513) 488-2060
Mailing address
4439 READING RD STE 101, CINCINNATI, OH 45229-1256
(513) 266-5655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/05/2024
Last updated
08/20/2024
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