Healthcare Provider Details

I. General information

NPI: 1619068434
Provider Name (Legal Business Name): QUEEN CITY SENIORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 E KEMPER RD SUITE LL1
CINCINNATI OH
45241-2380
US

IV. Provider business mailing address

675 DEIS DR #105
FAIRFIELD OH
45014-8136
US

V. Phone/Fax

Practice location:
  • Phone: 513-247-0013
  • Fax: 513-247-0081
Mailing address:
  • Phone: 513-247-0013
  • Fax: 513-247-0081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH REISING
Title or Position: PRESIDENT
Credential:
Phone: 800-836-2904