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NPI Code Detail

MEDICARE: KINDLY CARE ADULT DAYCARE CENTER

MEDICARE: KINDLY CARE ADULT DAYCARE CENTER
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
1343900000XNon-emergency Medical Transport (VAN)RR553380OH

General Provider Information

NPI Number : 1568905602
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDLY CARE ADULT DAYCARE CENTER
Provider Business Mailing Address
First Line : 1546 WAVERLY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45214-1251
Country : US
Telephone Number : 888-571-7973
Fax Number :
Provider Business Practice Location Address
First Line : 1546 WAVERLY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45214-1251
Country : US
Telephone Number : 888-571-7973
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. DERRICK E FRIERSON
Credential :
Telephone Number : 888-571-7973
Provider Enumeration Date : 11/21/2016
Last Update Date : 11/21/2016

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Directions to “KINDLY CARE ADULT DAYCARE CENTER ” Practice Location

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