Healthcare Provider Details

I. General information

NPI: 1104413764
Provider Name (Legal Business Name): TECS EDUCATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10865 INDECO DR
BLUE ASH OH
45241-2926
US

IV. Provider business mailing address

10865 INDECO DR
BLUE ASH OH
45241-2926
US

V. Phone/Fax

Practice location:
  • Phone: 513-731-7077
  • Fax:
Mailing address:
  • Phone: 513-731-7077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL THOMAS
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 513-731-7077