Healthcare Provider Details

I. General information

NPI: 1346643640
Provider Name (Legal Business Name): MEDADAPT LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 06/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 HANLEY RD
CINCINNATI OH
45247-5049
US

IV. Provider business mailing address

4150 HANLEY RD
CINCINNATI OH
45247-5049
US

V. Phone/Fax

Practice location:
  • Phone: 513-923-1181
  • Fax:
Mailing address:
  • Phone: 513-923-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. RAY NERSWICK
Title or Position: GENERAL MANAGER
Credential:
Phone: 513-923-1181