Healthcare Provider Details

I. General information

NPI: 1497289151
Provider Name (Legal Business Name): CFC MANAGED SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 ASHWOOD DR SUITE 200
BLUE ASH OH
45241-2465
US

IV. Provider business mailing address

4700 ASHWOOD DRIVE SUITE 200
CINCINNATI OH
45241
US

V. Phone/Fax

Practice location:
  • Phone: 513-489-7100
  • Fax: 513-489-7199
Mailing address:
  • Phone: 513-489-7100
  • Fax: 513-489-7199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CHARLES STOLTZ
Title or Position: CFO
Credential:
Phone: 513-530-1613