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NPI Code Detail

MEDICARE: ESSENCE WASHINGTON

MEDICARE:   ESSENCE  WASHINGTON
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1467126839
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESSENCE WASHINGTON
Provider Business Mailing Address
First Line : 2430 SPRINGDALE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-1810
Country : US
Telephone Number : 513-284-7853
Fax Number :
Provider Business Practice Location Address
First Line : 2430 SPRINGDALE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-1810
Country : US
Telephone Number : 513-284-7853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2021
Last Update Date : 08/09/2021

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Directions to “ ESSENCE WASHINGTON ” Practice Location

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