MEDICARE: CINCINNATI CHRISTIAN ADULT MINISTRIES 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
1	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1679032056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINCINNATI CHRISTIAN ADULT MINISTRIES CENTER

Provider Business Mailing Address
First Line	:	3663 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2115
Country	:	US
Telephone Number	:	513-281-2103
Fax Number	:	513-281-2345

Provider Business Practice Location Address
First Line	:	3663 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2115
Country	:	US
Telephone Number	:	513-281-2103
Fax Number	:	513-281-2345

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MRS. A. H. JOHNSON
Credential	:	MSW
Telephone Number	:	513-281-2103

Provider Enumeration Date	:	03/15/2019
Last Update Date	:	03/18/2019

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