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NPI Code Detail

MEDICARE: PHYSICIAN ASSETS RETENTION

MEDICARE: PHYSICIAN ASSETS RETENTION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1447642715
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIAN ASSETS RETENTION
Provider Business Mailing Address
First Line : 234 FOREST AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2430
Country : US
Telephone Number : 513-751-6972
Fax Number :
Provider Business Practice Location Address
First Line : 234 FOREST AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2430
Country : US
Telephone Number : 513-751-6972
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. LEROY TERRANCE GREENIDGE
Credential :
Telephone Number : 513-751-6972
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “PHYSICIAN ASSETS RETENTION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.